Traci C Wilson LCSW

NPI 1205163094 - Social Worker - 104100000X

NPI Details
NPI 1205163094
Gender Female
Enumeration Date 11/16/2009
Last Updated 11/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
490 E RIDGE RD
ROCHESTER NY, 14621-1229, US
Phone (585) 922-2528
Fax (585) 922-2646
Business Location
490 E RIDGE RD
ROCHESTER NY, 14621-1229, US
Phone (585) 922-2528
Fax (585) 922-2646
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 076466
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According to our database, Miss Traci C Wilson LCSW NPI is 1205163094, taxonomy code is 104100000X and license number is 076466, license state is located at New York. Traci C Wilson LCSW physically located at 490 E Ridge Rd, Rochester NY, 14621-1229. NPI Number Traci C Wilson LCSW has the Individual type.

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1205163094 NPI number is provided on an as is basis without warranty of any kind. 1205163094 is maintained by the National Plan & Provider Enumeration System. The contents of Traci C Wilson LCSW are for informational purposes only.