Individual
SAMANTHA WIELGOPOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
65 N WASHINGTON ST STE 1, WILKES BARRE, PA 18701-3119
(570) 606-1888
Mailing address
65 N WASHINGTON ST STE 1, WILKES BARRE, PA 18701-3119
(570) 606-1888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
11/09/2021
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