Individual
MICHELLE WAGENHOFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LBS
Contact information
Practice address
4462 BUCK HOLLOW RD, COLLEGEVILLE, PA 19426-4182
(215) 527-2124
Mailing address
308 JASMINE CT, ZIEGLERVILLE, PA 19492-9726
(267) 625-1599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003142
PA
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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