Wesley, Laura

Wesley, Laura is an individual health care provider with primary practice located at 1 Leo Moss Dr Suite 4308, Olean NY 14760-1100. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wesley, Laura can be contacted via phone (716) 373-8040.

Contact Information

Primary practice address
1 Leo Moss Dr Suite 4308 Olean NY 14760-1100
Fax: (716) 701-3728
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1790092021
LBN Legal business name Wesley, Laura
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790092021 NPPES
New York MEDICAID 00635098

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