Wottawa, Kimberlie A

Wottawa, Kimberlie A is an individual health care provider with primary practice located at 51 School St , Lake Ronkonkoma NY 11779-2231. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wottawa, Kimberlie A can be contacted via phone (631) 471-1700.

Contact Information

Primary practice address
51 School St Lake Ronkonkoma NY 11779-2231
Phone: (631) 471-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 060153 New York

Profile Details

NPI number 1598807968
LBN Legal business name Wottawa, Kimberlie A
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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