Individual
MRS. JESSIE LYNN BIRCKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2045 WESTGATE DRIVE, SUITE 402, BETHLEHEM, PA 18017
(610) 882-2055
(610) 882-3633
Mailing address
2045 WESTGATE DRIVE, SUITE 402, BETHLEHEM, PA 18017
(610) 882-2055
(610) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013579
PA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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