Dawn Marie Wigutow

NPI #1871713065 in Lake Ronkonkoma, New York

Provider Information

NPI Number: 1871713065
Entity Type: Individual
Name: Dawn Marie Wigutow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 27, 2007
Last Updated: Feb 21, 2024

Practice Location

Address: 27 UHL ST
City: Lake Ronkonkoma
State: New York
ZIP Code: 11779-2740
Phone: (631) 877-9184

Specialties & Taxonomy Codes

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

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