Individual
MRS. JILL ANNETTE SURLOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
131 MARKET ST, JOHNSTOWN, PA 15901-1628
(814) 534-0745
Mailing address
215 FAYETTE ST, JOHNSTOWN, PA 15905-2431
(814) 322-8486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014847
PA
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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