Individual
CLARISSA WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7700A STENTON AVE APT 108, PHILADELPHIA, PA 19118-3108
(484) 841-5219
Mailing address
7700A STENTON AVE APT 108, PHILADELPHIA, PA 19118-3108
(484) 841-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021755
PA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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