Individual
MS. JEANETTE F STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
625 SOUTH AVE, APT B304, SECANE, PA 19018-3535
(732) 668-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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