JAKE WAYNE

YEADON, PA
NPI1285023242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-01-14
Last Update Date2015-01-14
Business Address
-- JAKE WAYNE M.S.
529 FERN ST
YEADON, PA 19050-3225
Phone number: 610-623-0715
Mailing Address
-- JAKE WAYNE M.S.
529 FERN ST
YEADON, PA 19050-3225
Phone number: 610-623-0715