Provider Information for 1184383770
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DORIS WILAMOWSKI LCSW
Sex: Female
NPI: 1184383770
Last Updated: 2024-10-15
Certification Date: 2024-10-15
Certification Date: 2024-10-15
Details
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NPI | 1184383770 | ||||||||||||
Enumeration Date | 2021-12-11 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 10420 QUEENS BLVD APT 22A FOREST HILLS, NY 11375-3613 United States Phone: 212-730-0303 | Fax: | ||||||||||||
Primary Practice Address | 10420 QUEENS BLVD APT 22A FOREST HILLS, NY 11375-3613 United States Phone: 212-730-0303 | Fax: | ||||||||||||
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