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Individual

STEFANIE WAKEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
1505 RACE ST FL 6, PHILADELPHIA, PA 19102-1119
(215) 762-1170
Mailing address
2525 MEREDITH ST, PHILADELPHIA, PA 19130-2421
(267) 973-5453

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122600
PA

Other

Enumeration date
04/06/2018
Last updated
04/06/2018
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