Individual
JASON STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
1120 W TOWNSHIP LINE RD STE 101, HAVERTOWN, PA 19083-4930
(161) 070-8072
Mailing address
1933 SPRING GARDEN ST APT 2F, PHILADELPHIA, PA 19130-3866
(717) 521-2615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW141191
PA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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