Individual
JESSICA HEAVERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CATHERINE ST, UTICA, NY 13501-1209
(315) 798-5249
Mailing address
326 CATHERINE ST, UTICA, NY 13501-1209
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1502956211
NY
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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