Organization
JWS LICENSED MARRIAGE AND FAMILY THERAPIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN WAINMAN-SAUDA LMFT (OWNER)
(315) 857-3035
Entity
Organization
Contact information
Practice address
3070 BELGIUM RD, BALDWINSVILLE, NY 13027-9546
(315) 857-3035
(315) 720-1171
Mailing address
70 W GENESEE ST, BALDWINSVILLE, NY 13027-1145
(315) 857-3035
(315) 720-1171
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659458563
—
NY
Enumeration date
01/28/2019
Last updated
03/13/2020
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