Individual
KRISTIN O'KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 INTREPID LN STE 2, SYRACUSE, NY 13205-2546
(315) 797-6241
Mailing address
5365 TOURMALINE DR, CLAY, NY 13041-8973
(315) 725-1927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023598-01
NY
104100000X
Social Worker
083994-1
NY
Other
Enumeration date
06/26/2015
Last updated
04/07/2020
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