Individual
WOODLY AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
851 COMMERCE BLVD, DICKSON CITY, PA 18519-1759
(570) 489-5561
Mailing address
138 E MERRITT ST, WILKES BARRE, PA 18705-2038
(347) 207-9116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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