EVAN DAVID WAGSTAFF

BINGHAMTON, NY
NPI1306604392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  122465-01)
Enumeration Date2024-03-13
Last Update Date2024-03-13
Business Address
EVAN DAVID WAGSTAFF LMSW
184 COURT ST
BINGHAMTON, NY 13901-3515
Phone number: 607-584-4465
Mailing Address
EVAN DAVID WAGSTAFF LMSW
602 TERRACE RD
ENDWELL, NY 13760-5850
Phone number: 607-752-0181
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