Individual
MEDEA JANI PETRONIS-BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, MSW, CBHCMS
Contact information
Practice address
400 LAUREL OAK RD STE 100, VOORHEES, NJ 08043-4455
(856) 354-0664
Mailing address
2616 S 18TH ST UNIT 22, PHILADELPHIA, PA 19145-3736
(415) 685-9753
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06967700
NJ
Other
Enumeration date
12/08/2020
Last updated
07/24/2024
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