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Individual

TERESA WOLFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 LAKEMONT PARK BLVD, ALTOONA, PA 16602-5967
(814) 946-0261
Mailing address
2131 HIXTON RD, DUNCANSVILLE, PA 16635-8143

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/22/2018
Last updated
06/22/2018
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