Individual
GERALD CREAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2555 CAPE HORN RD, RED LION, PA 17356-9057
(717) 600-0900
Mailing address
2555 CAPE HORN RD, RED LION, PA 17356-9057
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW131758
PA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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