Individual
KATHERINE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2475 MCCLELLAN AVE, BUILDING C, PENNSAUKEN, NJ 08109-4683
(856) 675-3684
(856) 675-3659
Mailing address
2475 MCCLELLAN AVE, BUILDING C, PENNSAUKEN, NJ 08109-4683
(856) 675-3684
(856) 675-3659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05807300
NJ
Other
Enumeration date
07/30/2012
Last updated
08/06/2012
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