Individual
JACQUELINE L GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
879 CLARE LN, YORK, PA 17402-4317
(717) 578-3664
(717) 430-6439
Mailing address
879 CLARE LN, YORK, PA 17402-4317
(717) 578-3664
(717) 430-6439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013639
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW013639
LCSW LICENSE
PA
Enumeration date
11/07/2006
Last updated
01/06/2014
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