Individual
CARLA A WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6712 BROOKLAWN PKWY, SYRACUSE, NY 13211-2198
(315) 432-8899
(315) 431-9528
Mailing address
9 ORIOLE PATH, LIVERPOOL, NY 13090-2903
(315) 415-2162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088898
NY
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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