Individual
KELLY JEAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
889 SMITH HILL RD, SAYLORSBURG, PA 18353-8686
(570) 269-0529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132475
PA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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