person
Wendell Wild, LCSW-R
School Social Worker in Orchard Park, New York
NPI 1053683011

Wendell Wild is a School Social Worker based in Orchard Park, NY and is specialized in School. Wendell Wild practices in Orchard Park, NY and has the professional credentials of LCSW-R. The NPI Number for Wendell Wild is 1053683011 and holds a License No. R033870-1 (New York).

The current practice location address for Wendell Wild is 70 Linwood Ave, Orchard Park, NY and can be reached out via phone at 716-675-9232.

Location: 70 Linwood Ave, Orchard Park, NY, 14127-2308
person
Provider Profile Details
NPI Number
1053683011
Provider Name
Wendell Wild
Credential
LCSW-R
Provider Entity Type
Individual
Gender
Male
Address
70 Linwood Ave, Orchard Park, NY, 14127-2308
Phone Number
716-675-9232
Fax Number
Provider Enumeration Date
02/06/2012
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166001554 05 NY
institution
Provider Business Practice Location Address Details
Address
70 Linwood Ave
City
State
Zip
14127-2308
Phone Number
716-675-9232
Fax Number
person
Provider Business Mailing Address Details
Address
70 Linwood Ave
City
State
Zip
14127-2308
Phone Number
716-675-9232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
R033870-1 (New York)
Definition
Definition to come...
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