Individual
MRS. DEVANN LYNN WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
(215) 816-2988
Mailing address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
(215) 816-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020561
PA
Other
Enumeration date
09/05/2018
Last updated
07/15/2024
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