Individual
JASMINE LUZ BUHTANICVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
117 BROAD ST, STROUDSBURG, PA 18360-1534
(973) 983-3919
Mailing address
2119 EDDY LN, EAST STROUDSBURG, PA 18301-7731
(570) 688-3284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141741
PA
Other
Enumeration date
09/13/2021
Last updated
03/20/2025
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