Individual
ALEXANDRA WENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
51 HIGH ST, LOCKPORT, NY 14094-4333
(716) 515-5477
Mailing address
51 HIGH ST, LOCKPORT, NY 14094-4333
(716) 515-5477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2610800
NY
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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