MR. Kenrick Wadsworth Hackett JR., LCSW

NPI #1922254945 in Springfield, Pennsylvania

Provider Information

NPI Number
1922254945
Entity Type
Individual
Name
MR. Kenrick Wadsworth Hackett JR., LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Aug 10, 2008
Last Updated
Aug 10, 2008

Practice Location

Address
1489 BALTIMORE PIKE STE 200
ZIP Code
19064-3958
Phone
(610) 604-9510

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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