Individual
JERRI LYNNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
716 E 2ND ST, OIL CITY, PA 16301-2330
(814) 677-4005
Mailing address
716 E 2ND ST, OIL CITY, PA 16301-2330
(814) 677-4005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW135599
SOCIAL WORKER
PA
Enumeration date
11/03/2020
Last updated
11/03/2020
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