Individual
AMY JEAN BEALE- GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
750 E ADAMS ST, DEPARTMENT OF PSYCHIATRY, SYRACUSE, NY 13210-2306
(315) 464-5267
(315) 464-3202
Mailing address
750 E ADAMS ST, DEPARTMENT OF PSYCHIATRY, SYRACUSE, NY 13210-2306
(315) 464-5267
(315) 464-3202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074964
NY
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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