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Individual

ELIJAH WAFTORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18 GLOUCESTER PL, NEW ROCHELLE, NY 10801-2310
(914) 843-6582
Mailing address
18 GLOUCESTER PL, NEW ROCHELLE, NY 10801-2310

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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