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Individual

JODI LYNNE GAHAGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
317 POWER ST, JOHNSTOWN, PA 15906-2730
(814) 536-1555
Mailing address
902 17TH ST, WINDBER, PA 15963-1808

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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