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Individual

MS. JENNIFER H PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3759 BUSINESS ROUTE 220, SUITE 1, BEDFORD, PA 15522
(814) 623-1212
Mailing address
233 FAIR VALLEY RD # 1, MARTINSBURG, PA 16662-7868
(814) 793-3486

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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