IMANI TACUMA WAGSTAFF

ROCHESTER, NY
NPI1578070512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106H00000X Marriage & Family Therapist
Enumeration Date2017-12-29
Last Update Date2021-01-11
Business Address
IMANI TACUMA WAGSTAFF
1 MUSTARD ST
ROCHESTER, NY 14609-6980
Phone number: 585-256-7500
Mailing Address
IMANI TACUMA WAGSTAFF
1 MUSTARD ST
ROCHESTER, NY 14609-6980
Phone number: 585-256-7500