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Individual

DEEANNA MAINE WELLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
19 MEADOW DRIVE, LANGHORNE, PA 19047
(215) 750-4004
Mailing address
1404 SCHOOLHOUSE RD, PERKASIE, PA 18944
(716) 353-1836

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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