Individual
MS. JESSICA WANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
Mailing address
204 OAKFIELD CT W, LANCASTER, PA 17603-2104
(321) 747-3707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016534
PA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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