Individual
BARBARA JASTRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
233 S ALBANY ST, ITHACA, NY 14850-5403
(607) 342-8377
Mailing address
233 S ALBANY ST, ITHACA, NY 14850-5403
(607) 342-8377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RO59975-1
NY
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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