AMANDA WAGERIK-FASANO

STATEN ISLAND, NY
NPI1750659215
Former NameAMANDA CRUZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2011-12-12
Last Update Date2019-05-08
Business Address
Ms. AMANDA WAGERIK-FASANO LMSW, CASAC-T
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
Mailing Address
Ms. AMANDA WAGERIK-FASANO LMSW, CASAC-T
3911 RICHMOND AVE
STATEN ISLAND, NY 10312-5110
Phone number: 718-948-3232
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