Individual
STANTON JACINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
3550 MARKET ST # 3070, PHILADELPHIA, PA 19104-3329
(221) 215-4156
Mailing address
3550 MARKET ST # 3070, PHILADELPHIA, PA 19104-3329
(215) 221-4156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135349
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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