MS. Judy Wagman, LICENSED CLINICAL SO

NPI #1073841516 in Westbury, New York

Provider Information

NPI Number: 1073841516
Entity Type: Individual
Name: MS. Judy Wagman, LICENSED CLINICAL SO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICENSED CLINICAL SO
Enumeration Date: Nov 20, 2009
Last Updated: Nov 20, 2009

Practice Location

Address: 1142 HOWARD DR
City: Westbury
State: New York
ZIP Code: 11590
Phone: (516) 334-5453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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