Individual
JILL MANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 W RIDGE PIKE, EAGLEVILLE, PA 19403-1534
(610) 265-4700
Mailing address
206 WASHINGTON CT, TRAPPE, PA 19426-2235
(484) 902-8512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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