Individual
JACQUELINE LITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
800 MACDADE BLVD, COLLINGDALE, PA 19023-3826
(610) 938-9373
Mailing address
162 KERR PL, LANSDOWNE, PA 19050-1512
(610) 574-8574
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127465
PA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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