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NPI Code Detail

MEDICARE: ANDREW WNUK LICSW

MEDICARE:   ANDREW  WNUK  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker003907CT
21041C0700XClinical Social Worker120714MA

General Provider Information

NPI Number : 1669672341
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW WNUK LICSW
Provider Business Mailing Address
First Line : 50 PLEASANT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 PLEASANT ST
Second Line :
City : NORTHAMPTON
State : MA
Zip : 01060-4127
Country : US
Telephone Number : 413-584-6855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 01/29/2021

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Directions to “ ANDREW WNUK LICSW” Practice Location

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