Individual
DEANNA WAGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 LEXINGTON AVE, ALTOONA, PA 16601-4628
(814) 940-6065
Mailing address
1008 LINDA CT APT 1, ALTOONA, PA 16602-6918
(814) 937-5372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
PA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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