Individual
JAYNE ANTONOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW BCD
Contact information
Practice address
191 PRESIDENTIAL BLVD, SUITE 113, BALA CYNWYD, PA 19004-1207
(610) 667-7284
Mailing address
191 PRESIDENTIAL BLVD, SUITE 113, BALA CYNWYD, PA 19004-1207
(610) 667-7284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012845
PA
Other
Enumeration date
07/30/2007
Last updated
01/10/2017
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