Individual
JACLYN SUZANNE NORTHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(717) 531-8338
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-1159
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024163
PA
Other
Enumeration date
06/08/2021
Last updated
07/22/2024
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