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Individual

WANDA SUE NAFFZIGER

Active
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Individual

WANDA SUE NAFFZIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0157
AK
Enumeration date
04/26/2011
Last updated
02/10/2021
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