Individual
NANCY JEAN REDETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W., M.S.W.
Contact information
Practice address
1200 LINE ST, ARCHBALD, PA 18403-1918
(570) 876-9200
Mailing address
1200 LINE ST, ARCHBALD, PA 18403-1918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW006967L
PA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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