Individual
JACLYN DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 MARKET ST, KINGSTON, PA 18704-5400
(570) 961-3361
(570) 961-3364
Mailing address
49 WHITE ROCK TER, COURTDALE, PA 18704-1101
(570) 239-3107
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130248
PA
Other
Enumeration date
09/05/2023
Last updated
09/19/2023
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