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Organization

NURTURING LIFE CONCEPTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENDY A WEST PIDKAMINY LCSW-R (EXECUTIVE OFFICER)
(315) 682-4005
Entity
Organization

Contact information

Practice address
8195 CAZENOVIA RD, SUITE 9, MANLIUS, NY 13104-9631
(315) 682-4005
(315) 682-4254
Mailing address
8195 CAZENOVIA RD, SUITE 9, MANLIUS, NY 13104-9631
(315) 682-4005
(315) 682-4254

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
076350-1
NY

Other

Enumeration date
08/06/2013
Last updated
08/06/2013
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