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Individual

DR. DIANA WILDERMUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC, NCC

Contact information

Practice address
1348 BROWNSVILLE RD, COATESVILLE, PA 19320-4783
(610) 368-1033
Mailing address
1348 BROWNSVILLE RD, COATESVILLE, PA 19320-4783
(610) 368-1033

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007204
PA
101YS0200X
School Counselor
4484204
PA

Other

Enumeration date
11/03/2023
Last updated
11/03/2023
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