MARY SUZANNE WOLFENBARGER

O FALLON, IL
NPI1962558114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149004442)
Enumeration Date2007-01-28
Last Update Date2007-07-08
Business Address
Mrs. MARY SUZANNE WOLFENBARGER LCSW
822 W STATE ST
O FALLON, IL 62269-1808
Phone number: 618-632-9660
Mailing Address
Mrs. MARY SUZANNE WOLFENBARGER LCSW
822 W STATE ST
O FALLON, IL 62269-1808
Phone number: 618-632-9660
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