Individual
LANELLE QUZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
704 14TH AVE, PROSPECT PARK, PA 19076-1207
(267) 977-0618
Mailing address
310 N MATLACK ST, WEST CHESTER, PA 19380-2620
(610) 696-4900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137290
PA
Other
Enumeration date
09/09/2020
Last updated
09/28/2020
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