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Individual

MRS. KIERSTEN REBECCA WAMSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11881
CT
1041C0700X
Clinical Social Worker
LC25885
ME
1041C0700X
Clinical Social Worker
TPSW5852
FL

Other

Enumeration date
11/30/2021
Last updated
04/07/2026
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