Individual
KAITLIN ETEMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
112 DEWITT ST, SYRACUSE, NY 13203-2890
(315) 464-0774
Mailing address
112 DEWITT ST, SYRACUSE, NY 13203-2890
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002378
NY
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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