Individual
JANE L THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
176 VIRGINIA AVE, ROCHESTER, PA 15074-1723
(724) 775-5208
(724) 770-7914
Mailing address
176 VIRGINIA AVE, ROCHESTER, PA 15074-1723
(724) 775-5208
(724) 770-7914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC2319
ME
Other
Enumeration date
07/19/2005
Last updated
06/13/2012
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