Individual
STEPHANIE WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
472 JEFFERS ST, DU BOIS, PA 15801-2438
(888) 918-5465
Mailing address
472 JEFFERS ST, DU BOIS, PA 15801-2438
(888) 918-5465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW143290
PA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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