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1114594249
JACLYN SUZANNE NORTHRIDGE
HERSHEY, PA
NPI
1114594249
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Former Name
JACLYN SUZANNE BERRIOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW024163)
Enumeration Date
2021-06-08
Last Update Date
2024-07-22
Business Address
JACLYN SUZANNE NORTHRIDGE LCSW
22 NORTHEAST DR
HERSHEY, PA 17033-2732
Phone number: 717-531-8338
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Mailing Address
JACLYN SUZANNE NORTHRIDGE LCSW
500 UNIVERSITY DR MC CA410
HERSHEY, PA 17033-2360
Phone number: 717-531-1159
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