Individual
MRS. BETH W WAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
466 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1805
(610) 420-6374
(610) 832-9387
Mailing address
132 CHINABERRY DR, LAFAYETTE HILL, PA 19444-2321
(610) 420-6374
(610) 832-9387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW008558L
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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