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1922022003
THOMAS WILDENGER
UTICA, NY
NPI
1922022003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R033873-1)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- THOMAS WILDENGER LCSW
2626 GENESEE ST
UTICA, NY 13502-6003
Phone number: 315-724-5344
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Mailing Address
-- THOMAS WILDENGER LCSW
2626 GENESEE ST
UTICA, NY 13502-6003
Phone number: 315-724-5344
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