Individual
BOBBI JO VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
5100 PEACH ST, ERIE, PA 16509-2482
(814) 866-4506
(814) 866-4612
Mailing address
5100 PEACH ST, ERIE, PA 16509-2482
(814) 866-4506
(814) 866-4612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128205
PA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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