Individual
HARPER JACQUELYN WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
6301 BEACH BLVD STE 245, BUENA PARK, CA 90621-4031
(714) 736-0231
(714) 736-0895
Mailing address
6301 BEACH BLVD STE 245, BUENA PARK, CA 90621-4031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
326950
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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