Individual
JUDITH A. WANDSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 SW 1ST ST, ENTERPRISE, OR 97828-1203
(541) 426-4524
(541) 426-3035
Mailing address
PO BOX 12, JOSEPH, OR 97846-0012
(541) 432-4150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1922
OR
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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