Individual
MELISSA WISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1000 S 5TH ST, PHILADELPHIA, PA 19147-4010
(484) 201-7727
Mailing address
1000 S 5TH ST, PHILADELPHIA, PA 19147-4010
(484) 201-7727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
136945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811211949
JAYCARE
NJ
Enumeration date
05/21/2020
Last updated
05/21/2020
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