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Individual

JENNY MARIE WILDRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, LPC, CRC. CPRP

Contact information

Practice address
629 E DRINKER ST, DUNMORE, PA 18512-2549
(570) 851-7408
Mailing address
629 E DRINKER ST, DUNMORE, PA 18512-2549
(570) 851-7408

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013178
PA

Other

Enumeration date
07/02/2021
Last updated
07/03/2023
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