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Individual

JENNIFER SZELISTOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
100 N ACADEMY AVE, DEPT OF INTERNAL MEDICINE, DANVILLE, PA 17822-9800
(610) 914-3038
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
83710
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
03/21/2017
Last updated
11/29/2021
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