Individual
JENNIFER KIESENDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 ATLANTIC AVE, HAWLEY, PA 18428-7003
(570) 226-4557
Mailing address
65 ROCKY VIEW DR, HAWLEY, PA 18428-4535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141230
PA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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