Individual
WENDIE W MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 7TH AVE, ALTOONA, PA 16602-1906
(814) 942-9425
(814) 942-9725
Mailing address
619 ROBERTDALE DR, DUNCANSVILLE, PA 16635-7525
(814) 414-2833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH000848
PA
Other
Enumeration date
03/16/2011
Last updated
10/05/2016
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