Individual
MS. JENNA M DANNUNZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
600 N. OLIVE STREET, MEDIA, PA 19063-2418
(610) 566-7540
(484) 470-1183
Mailing address
600 N. OLIVE STREET, MEDIA, PA 19063-2418
(610) 566-7540
(484) 470-1183
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037094300001
—
PA
Enumeration date
02/17/2020
Last updated
02/17/2020
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