Individual
MISS SAMANTHA ALEXIS WASCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS
Contact information
Practice address
2288 SECOND STREET PIKE, NEWTOWN, PA 18940-4108
(215) 579-7745
Mailing address
2288 2ND STREET PIKE, SUITE 6, NEWTOWN, PA 18940-4108
(215) 598-7745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
04/06/2010
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