Individual
MRS. JACLYN H BURWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
192 JOAN DR, TRAPPE, PA 19426-1957
(610) 403-9135
Mailing address
192 JOAN DR, TRAPPE, PA 19426-1957
(610) 403-9135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012156
NC
1041C0700X
Clinical Social Worker
CW023284
PA
1041C0700X
Clinical Social Worker
P011053
NC
Other
Enumeration date
05/30/2018
Last updated
10/15/2024
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