Kimberlie A Wottawa, LMSW

NPI #1598807968 in Lake Ronkonkoma, New York

Provider Information

NPI Number: 1598807968
Entity Type: Individual
Name: Kimberlie A Wottawa, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 13, 2007
Last Updated: Jun 1, 2023

Practice Location

Address: 51 SCHOOL ST
City: Lake Ronkonkoma
State: New York
ZIP Code: 11779-2231
Phone: (631) 471-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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