Individual
KATHLEEN MARY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBS
Contact information
Practice address
121 3RD ST, SHOEMAKERSVILLE, PA 19555-1549
(484) 772-6048
Mailing address
121 3RD ST, SHOEMAKERSVILLE, PA 19555-1549
(484) 772-6048
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BH005321
PA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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