Individual
JANE F ILGENFRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
746 CUMBERLAND ST, LEBANON, PA 17042-5236
(717) 540-7278
Mailing address
364 GRANITE ST, CORNWALL BORO, PA 17042-9248
(717) 540-7278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW013523
PA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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