Individual
AMIE E WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23 STONEFIELD PL, HONEOYE FALLS, NY 14472-1158
(585) 703-1904
Mailing address
23 STONEFIELD PL, HONEOYE FALLS, NY 14472-1158
(585) 703-1904
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
064717
NY
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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