Individual
BOBBI JO MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 N VESPER ST, LOCK HAVEN, PA 17745-2017
(570) 748-6475
Mailing address
207 N VESPER ST, LOCK HAVEN, PA 17745-2017
(570) 748-6475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014248
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102328770 0002
—
PA
Enumeration date
04/22/2008
Last updated
01/03/2011
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