Individual
JENNIFER WASCURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MULBERRY ST STE 201, SCRANTON, PA 18503-1233
(570) 955-5479
Mailing address
300 MULBERRY ST STE 201, SCRANTON, PA 18503-1233
(570) 955-5479
(570) 955-5528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326462599
—
PA
Enumeration date
10/29/2018
Last updated
05/24/2022
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