Individual
MRS. KRISTINA MARIE VACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
126 LOCUST LN, MEDIA, PA 19063-1711
(484) 274-8957
Mailing address
126 LOCUST LN, MEDIA, PA 19063-1711
(484) 274-8957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129861
PA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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