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Kelesey Wage

NPI 1629596119 · on the registry since 2017

Practice

Address
3019 County Complex Dr
Canandaigua, NY 14424
Phone
(585) 396-4363
Organisation at this address
Ontario County
Ontario County
Ontario County Preschool
Ontario County County Treas
Ontario County Substance Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York