Individual
MR. JEFFREY TODD BARG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSS, LCSW
Contact information
Practice address
14 THOMAS AVE, BRYN MAWR, PA 19010-2607
(484) 380-5247
Mailing address
1650 OAKWOOD DR APT E308, PENN VALLEY, PA 19072-1032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017507
PA
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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