Individual
JACQUELINE GAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
1200 ATWATER DR STE 130, MALVERN, PA 19355-9912
(610) 646-1851
Mailing address
225 E CITY AVE STE 15, BALA CYNWYD, PA 19004-1724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW025068
PA
Other
Enumeration date
01/25/2018
Last updated
10/28/2024
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