Individual
DOUGLAS MWOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 BROADWAY AVE, PRIMOS, PA 19018-2113
(215) 485-7944
Mailing address
710 BROADWAY AVE, PRIMOS, PA 19018-2113
(215) 485-7944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001746
PA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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