Provider Demographics
NPI:1326294034
Name:WANSLEY, RENEE ELAINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:ELAINE
Last Name:WANSLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E CAMDEN AVE
Mailing Address - Street 2:#23
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1664
Mailing Address - Country:US
Mailing Address - Phone:856-206-2482
Mailing Address - Fax:
Practice Address - Street 1:101 E CAMDEN AVE
Practice Address - Street 2:#23
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1664
Practice Address - Country:US
Practice Address - Phone:856-206-2482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health