Individual
KENNEDY JORDAN STRAITIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
505 HUNTER HWY STE 2, TUNKHANNOCK, PA 18657-8064
(570) 301-2243
(570) 836-0660
Mailing address
505 HUNTER HWY STE 2, TUNKHANNOCK, PA 18657-8064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141208
PA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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