Individual
JANEL WILDERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-4638
(610) 299-6795
Mailing address
3400 W CHESTER PIKE APT 108C, NEWTOWN SQUARE, PA 19073-4629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2019037910
MO
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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