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Individual

JEANETTE REDMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
216 S ORANGE ST, 439 SOUTH AVE., MEDIA, PA 19063-3626
(610) 566-5886
(610) 566-5886
Mailing address
216 S ORANGE ST, MEDIA, PA 19063-3626
(610) 566-5886
(610) 566-5886

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014137
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230422000
PA
Enumeration date
01/17/2007
Last updated
06/12/2012
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