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Organization

DEWITT COUNSELING SERVICES LCSW PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD T GARDINER LCSWR (PRESIDENT)
(315) 472-7885
Entity
Organization

Contact information

Practice address
5800 HERITAGE LANDING DR, SUITE E, EAST SYRACUSE, NY 13057-9378
(315) 472-7885
(315) 472-2513
Mailing address
5800 HERITAGE LANDING DR, SUITE E, EAST SYRACUSE, NY 13057-9378
(315) 472-7885
(315) 472-2513

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/16/2006
Last updated
03/18/2009
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