Individual
ANIKA STEPHANIE DOTTIN-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 WINDING BROOK DR APT 1D, GUILDERLAND, NY 12084-9740
(347) 706-0922
Mailing address
9 WINDING BROOK DR APT 1D, GUILDERLAND, NY 12084-9740
(347) 706-0922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094500
NYSED OFFICE OF THE PROFESSIONS
NY
Enumeration date
03/26/2018
Last updated
09/14/2023
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