Individual
JOLENE MEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 S ACADEMY ST, MANSFIELD, PA 16933-1149
(570) 662-4696
Mailing address
31 S ACADEMY ST, MANSFIELD, PA 16933-1149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017444
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW017444
STATE LICENSING BOARD
PA
Enumeration date
03/22/2020
Last updated
03/22/2020
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