Kmw Lcsw Pllc

NPI #1528879442 in Endicott, New York

Provider Information

NPI Number: 1528879442
Entity Type: Organization
Organization Name: Kmw Lcsw Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 20, 2025
Last Updated: Jan 28, 2025

Practice Location

Address: 2814 SMITH DR
City: Endicott
State: New York
ZIP Code: 13760-2318
Phone: (607) 239-3897

Authorized Official

Name: KAYLA MARIE WILSON, LCSW
Title: OWNER
Phone: (607) 759-0145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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