Individual
ANN LOUISE JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
10 ICE LAKE DR, MOUNTAIN TOP, PA 18707-9652
(440) 823-1235
Mailing address
10 ICE LAKE DR, MOUNTAIN TOP, PA 18707-9652
(440) 823-1235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017441
PA
1041C0700X
Clinical Social Worker
I.0700159
OH
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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