Individual
MRS. JILLIAN MARIE RHOADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
377 EDGE PARK DR, LAKE CITY, PA 16423-1710
(814) 602-2663
Mailing address
377 EDGE PARK DR, LAKE CITY, PA 16423-1710
(814) 602-2663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018399
PA
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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