Organization
KMW LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MARIE WILSON LCSW (OWNER)
(607) 759-0145
Entity
Organization
Contact information
Practice address
2814 SMITH DR, ENDICOTT, NY 13760-2318
(607) 239-3897
Mailing address
2814 SMITH DR, ENDICOTT, NY 13760-2318
(607) 239-3897
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/28/2025
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