Thomas Wildenger LCSW

NPI 1922022003 - Social Worker - 1041C0700X

NPI Details
NPI 1922022003
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2626 GENESEE ST
UTICA NY, 13502-6003, US
Phone (315) 724-5344
Fax (315) 724-3148
Business Location
2626 GENESEE ST
UTICA NY, 13502-6003, US
Phone (315) 724-5344
Fax (315) 724-3148
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number R033873-1
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According to our database, Thomas Wildenger LCSW NPI is 1922022003, taxonomy code is 1041C0700X and license number is R033873-1, license state is located at New York. Thomas Wildenger LCSW physically located at 2626 Genesee St, Utica NY, 13502-6003. NPI Number Thomas Wildenger LCSW has the Individual type.

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1922022003 NPI number is provided on an as is basis without warranty of any kind. 1922022003 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Wildenger LCSW are for informational purposes only.