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Search › New York › 104100000X

Kimberly Wagner, LMSW

NPI 1285834499 · on the registry since 2007

Practice

Address
1519 Nye Road
Lyons, NY 14489
Phone
(315) 946-5722
Fax
(315) 946-5726
Organisation at this address
Wayne County
County Of Wayne
County Of Wayne
County Of Wayne
County Of Wayne
Inferred from a shared address, not stated in the registry.
Clinicians at this address
205

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York