Wingspan Counseling Lcsw Pllc

NPI #1013691344 in Rochester, New York

Provider Information

NPI Number: 1013691344
Entity Type: Organization
Organization Name: Wingspan Counseling Lcsw Pllc
Primary Specialty: Social Worker
Enumeration Date: Jun 15, 2023
Last Updated: Jun 15, 2023

Practice Location

Address: 95 ALLENS CREEK RD STE 9
City: Rochester
State: New York
ZIP Code: 14618-3252
Phone: (585) 568-7864

Authorized Official

Name: MS. SHARON DAWN MATTSSON, LCSW
Title: ORIGINAL MEMBER/MANAGER/ LCSW
Phone: (585) 568-7864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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