Individual
MRS. JESSICA L MAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 HILTON AVE, UTICA, NY 13501-4149
(315) 368-6414
(315) 368-6444
Mailing address
1203 HILTON AVE, UTICA, NY 13501-4149
(315) 368-6414
(315) 368-6444
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
069542-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069542-1
NEW YORK STATE DEPARTMENT OF EDUCATION OFFICE OF PROFESSIONS
NY
Enumeration date
10/01/2010
Last updated
10/01/2010
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