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Individual

PROF. JANICE FETROW-STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSW, ACSW

Contact information

Practice address
1665 STATE HILL RD, #420, WYOMISSING, PA 19610-1900
(610) 413-7570
Mailing address
214 JOHN GLENN AVE, READING, PA 19607-2940
(610) 775-2836

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW006208E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80840
AUTISM/ASPERGER'S
PA
05
80840
PA
Enumeration date
08/15/2011
Last updated
08/15/2011
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