Individual
WYNDA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
509 BEECH TREE LN, HOCKESSIN, DE 19707-1150
(215) 609-5648
Mailing address
509 BEECH TREE LN, HOCKESSIN, DE 19707-1150
(215) 609-5648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Q1-0012296
DE
1041C0700X
Clinical Social Worker
44SC06225100
NJ
1041C0700X
Clinical Social Worker
Primary
CW023556
PA
1041C0700X
Clinical Social Worker
Q1-0012296
DE
Other
Enumeration date
08/08/2018
Last updated
08/03/2023
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