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Organization
ESSENTIA TELEHEALTH AND WELLNESS
Active
Organization
ESSENTIA TELEHEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE ANTONIO ROSARIO LCSW-R (CO-OWNER)
(505) 365-1519
Entity
Organization
Contact information
Practice address
110 MECHANIC ST, FAYETTEVILLE, NY 13066-1333
(505) 365-1519
(315) 637-8557
Mailing address
110 MECHANIC ST, FAYETTEVILLE, NY 13066-1333
(505) 365-1519
(315) 637-8557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
10/02/2024
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