Individual
MR. JACK L ENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW,ACSW
Contact information
Practice address
1400 BLACK HORSE HILL ROAD, COATESVILLE, PA 19320
(610) 384-7711
Mailing address
51 HERON ROAD, LITITZ, PA 17543
(717) 625-4735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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