Amanda Wagerik CASAC-T

NPI 1750659215 - Counselor - 101YA0400X

NPI Details
NPI 1750659215
Gender Female
Enumeration Date 12/12/2011
Last Updated 12/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3911 RICHMOND AVE
STATEN ISLAND NY, 10312-5110, US
Phone (718) 948-3232
Fax (718) 966-6605
Business Location
3911 RICHMOND AVE
STATEN ISLAND NY, 10312-5110, US
Phone (718) 948-3232
Fax (718) 966-6605
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Ms. Amanda Wagerik CASAC-T NPI is 1750659215, taxonomy code is 101YA0400X Amanda Wagerik CASAC-T physically located at 3911 Richmond Ave, Staten Island NY, 10312-5110. NPI Number Amanda Wagerik CASAC-T has the Individual type.

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1750659215 NPI number is provided on an as is basis without warranty of any kind. 1750659215 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Wagerik CASAC-T are for informational purposes only.