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Individual

LINDSAY M WENGERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6 LANDMARK SQ FL 4, STAMFORD, CT 06901-2704
(484) 393-4107
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 393-4107
(484) 231-8631

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-299074
PA

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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