Individual
KELSEY WOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6995 HIDDEN OAK DR, LOCKPORT, NY 14094-7934
(855) 295-3276
Mailing address
6995 HIDDEN OAK DR, LOCKPORT, NY 14094-7934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001753
NY
Other
Enumeration date
05/28/2019
Last updated
04/16/2025
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