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Individual

CONNIE WIERZBICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
526 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6238
(315) 453-3911
(315) 453-0197
Mailing address
704 COUNTY ROUTE 37, CENTRAL SQUARE, NY 13036-2138
(315) 601-5829

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21900
NY

Other

Enumeration date
10/05/2015
Last updated
04/13/2020
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