Individual
MS. INGER MARIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW MSW
Contact information
Practice address
1022 A N MAIN ST, BUTLER, PA 16001
(724) 282-3361
Mailing address
1022 A N MAIN ST, BUTLER, PA 16001
(724) 282-3361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
774825
HIGHMARK BCBS
PA
Enumeration date
02/20/2007
Last updated
07/08/2007
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