Individual
VANESSA FAJOTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2935 BYBERRY RD, SUITE 108, HATBORO, PA 19040-2815
(215) 957-9771
Mailing address
109 S KESWICK AVE, GLENSIDE, PA 19038-4509
(908) 246-5893
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126628
PA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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