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Individual

JENNIFER LEIGH FOREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 644-4066
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 644-4066

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011301L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2321697000
BLUE SHIELD
PA
01
7277727
AETNA
PA
Enumeration date
04/23/2007
Last updated
07/08/2007
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