Individual
JENNY BEADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2351 FREEDOM WAY, YORK, PA 17402-9282
(717) 600-0900
Mailing address
2351 FREEDOM WAY, YORK, PA 17402-9282
(717) 600-0900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW131231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW131231
PA STATE
PA
Enumeration date
02/09/2015
Last updated
02/09/2015
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