Wottawa, Kimberlie A
Wottawa, Kimberlie A is an individual health care provider with primary practice located at 51 School St , Lake Ronkonkoma NY 11779-2231. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wottawa, Kimberlie A can be contacted via phone (631) 471-1700.Contact Information
Primary practice address
51 School St
Lake Ronkonkoma NY 11779-2231
Phone: (631) 471-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 060153 | New York |
Profile Details
| NPI number | 1598807968 |
|---|---|
| LBN Legal business name | Wottawa, Kimberlie A |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jun 1st, 2023 - about last year |
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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