Individual
MS. AGNES WOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
366 N BROADWAY STE 201, JERICHO, NY 11753-2000
(516) 625-1750
(516) 465-0370
Mailing address
366 N BROADWAY STE 201, JERICHO, NY 11753-2000
(516) 625-1750
(516) 465-0370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
273481R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088183
GHI
NY
01
—
P0507872
OXFORD
NY
Enumeration date
01/02/2007
Last updated
06/28/2022
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