Individual
MRS. JANE MACNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
504 LAKESIDE DRIVE, SOUTHAMPTOM, PA 18966
(215) 354-0777
(215) 354-0772
Mailing address
504 LAKESIDE DRIVE, SOUTHAMPTOM, PA 18966
(215) 354-0777
(215) 354-0772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014043
PA
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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