Individual
CAROLINE WASTERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 W 72ND ST, NEW YORK, NY 10023-3203
(347) 330-8652
Mailing address
175 W 72ND ST, NEW YORK, NY 10023-3203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
097816
NY
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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