Individual
MRS. JEHLISAH VACCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1345 E CHOCOLATE AVE, HERSHEY, PA 17033-1117
(717) 534-1650
Mailing address
336 BUCKLEY DR, HARRISBURG, PA 17112-2729
(717) 639-7164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW132617
PA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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