Individual
JO ANNE WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
321 MERION AVE, NARBERTH, PA 19072-2324
(610) 256-1949
Mailing address
321 MERION AVE, NARBERTH, PA 19072-2324
(610) 256-1949
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000610L
PA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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