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Individual
DORIS WILAMOWSKI
Active
Individual
DORIS WILAMOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
PR16094
NY
1041C0700X
Clinical Social Worker
Primary
016094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5317
INSURANCE PRIVATE
—
Enumeration date
12/11/2021
Last updated
10/15/2024
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