Individual
JENSEN ROSE STANISLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3201 CHESTNUT ST FL 2, PHILADELPHIA, PA 19104-3370
(215) 553-7500
Mailing address
325 N QUEEN ST APT 304, LANCASTER, PA 17603-3104
(732) 439-7634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140498
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2022
Last updated
10/28/2024
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