MRS. Mary Suzanne Wolfenbarger, LCSW

NPI #1962558114 in O Fallon, Illinois

Provider Information

NPI Number
1962558114
Entity Type
Individual
Name
MRS. Mary Suzanne Wolfenbarger, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jan 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
822 W STATE ST
ZIP Code
62269-1808
Phone
(618) 632-9660

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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