Individual
MR. ANDREW WAGENSELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
372 DANBURY RD, WILTON, CT 06897-2523
(860) 362-5226
Mailing address
372 DANBURY RD, WILTON, CT 06897-2523
(860) 362-5226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008234
CT
Other
Enumeration date
08/14/2008
Last updated
12/05/2016
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