Organization
CHANCES AND CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBI J MCLEAN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(570) 748-6475
Entity
Organization
Contact information
Practice address
207 N VESPER ST, LOCK HAVEN, PA 17745-2017
(570) 748-6475
Mailing address
207 N. VESPER STREET, LOCK HAVEN, PA 17745-2017
(570) 748-6475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014248
PA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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