Individual
MRS. JOANNA JESSICA DE JESUS-FENICLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2341 WALBERT AVE, ALLENTOWN, PA 18104-1351
(610) 434-2431
(610) 434-8384
Mailing address
2341 WALBERT AVE, ALLENTOWN, PA 18104-1351
(610) 434-2431
(610) 434-8384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50009798
CAPITAL BLUE CROSS
PA
01
—
DE1671127
HIGHMARK BS LCSW/FEP
PA
Enumeration date
12/30/2005
Last updated
07/08/2007
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