Individual
MR. JEFFREY DIETZ HYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
218 BRIDGE AVE, SUNBURY, PA 17801-1006
(570) 286-4982
(570) 286-4984
Mailing address
218 BRIDGE AVE, SUNBURY, PA 17801-1006
(570) 286-4982
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125596
PA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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