Individual
BETHANY JONCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001122
DE
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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