Individual
JANINE MARISCOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
314 EDGLEY AVE, GLENSIDE, PA 19038-5304
(215) 813-7067
Mailing address
314 EDGLEY AVE, GLENSIDE, PA 19038-5304
(215) 813-7067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW003524L
PA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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