Individual
DAVID WENGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1131 S DIVINITY ST, PHILADELPHIA, PA 19143-4301
(267) 777-8162
Mailing address
1131 S DIVINITY ST, PHILADELPHIA, PA 19143-4301
(267) 777-8162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130265
PA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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