Individual
JANET MACKENZIE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
3535 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3309
(215) 476-7216
(215) 573-5668
Mailing address
3535 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3309
(214) 746-7216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017092
PA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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