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Individual

MR. JONATHAN SORG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
532 ARMORY ROAD EXT, SAINT MARYS, PA 15857-3668
(727) 247-3973
Mailing address
532 ARMORY ROAD EXT, SAINT MARYS, PA 15857-3668
(727) 247-3973

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7217
PA
Enumeration date
02/06/2023
Last updated
02/06/2023
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