Individual
JULIE CHILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WYOMING ST, SYRACUSE, NY 13204-2927
(315) 380-7326
Mailing address
215 WYOMING ST, SYRACUSE, NY 13204-2927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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