| Wayne K. Pansa Jr., Lcsw, Llc | |
|
5205 W Woodmill Dr Ste 33 Wilmington DE 19808-4068 | |
| (302) 455-7065 | |
| Not Available |
| Full Name | Wayne K. Pansa Jr., Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5205 W Woodmill Dr Ste 33, Wilmington, Delaware |
| Authorized Official Name and Position | Wayne Kevin Pansa (CO-MEMBER) |
| Authorized Official Contact | 3024557065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne K. Pansa Jr., Lcsw, Llc 1201 W 6th St Wilmington DE 19805-3213 Ph: (302) 455-7065 | Wayne K. Pansa Jr., Lcsw, Llc 5205 W Woodmill Dr Ste 33 Wilmington DE 19808-4068 Ph: (302) 455-7065 |
| NPI Number | 1770057531 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770057531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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