Individual
JESSICA BASCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
806 S PROVIDENCE RD, WALLINGFORD, PA 19086-6604
(610) 220-6261
Mailing address
806 S PROVIDENCE RD, WALLINGFORD, PA 19086-6604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136888
PA
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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