Jane Back, LMCSW Valid NPI
Individual provider · Clinical Social Worker · Bryn Mawr, PA
- NPI
- 1265981963
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- CW019049 (PA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-09-23
- Last updated
- 2016-09-23
Practice location
850 W Lancaster Ave, 2nd Floord
Bryn Mawr, PA 19010-3220
(610) 520-1510