Provider Demographics
NPI:1801303201
Name:MCGEE, JEANNE DEBRA (LSW)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:DEBRA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1840
Mailing Address - Country:US
Mailing Address - Phone:267-304-9143
Mailing Address - Fax:
Practice Address - Street 1:294 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1840
Practice Address - Country:US
Practice Address - Phone:267-304-9143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW130746104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker