Individual
MICHELLE WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
377 OAK ST FL 5, GARDEN CITY, NY 11530-6553
(516) 746-0350
Mailing address
309 MUNCY ST, LINDENHURST, NY 11757-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
125462
NY
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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