Individual
CHERI LYNN WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1027745
MA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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