Organization
ANDREW WAGENSELLER LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WAGENSELLER LCSW (MANAGER)
(203) 434-6907
Entity
Organization
Contact information
Practice address
2507 POST RD FL 3, SOUTHPORT, CT 06890-1259
(203) 307-5330
Mailing address
78 CENTERBROOK RD, FAIRFIELD, CT 06824-3404
(203) 434-6907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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