Individual
VONZELL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 8TH ST STE 5, NEW KENSINGTON, PA 15068-6426
(724) 212-7899
Mailing address
481 FARM HILL CT, NEW KENSINGTON, PA 15068-5807
(724) 594-7670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC006804
PA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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