Individual
PROF. JEANNETTE B. WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS
Contact information
Practice address
1489 BALTIMORE PIKE, BUILDING 200, SUITE 250, SPRINGFIELD, PA 19064-3958
(610) 544-2110
Mailing address
286 CONGRESS AVE, LANSDOWNE, PA 19050-1257
(610) 623-9610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013236
PA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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