Individual
MRS. JACQUELYN O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
804 LONGFIELD RD, ERDENHEIM, PA 19038-7820
(215) 370-1626
Mailing address
1101 BETHLEHEM PIKE, REAR OFFICE, FLOURTOWN, PA 19031-1939
(215) 370-1626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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