Individual
REBECCA WILKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 TYLER RD, BRIDGEPORT, NY 13030-9731
(315) 481-2219
Mailing address
1265 TYLER RD, BRIDGEPORT, NY 13030-9731
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
$$$$$$$$$
NY
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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