Individual
JONATHAN PALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
65 BRYDEN ST, PITTSTON, PA 18640-3450
(570) 225-9299
Mailing address
65 BRYDEN ST, PITTSTON, PA 18640-3450
(570) 225-9299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136338
PA
Other
Enumeration date
10/10/2019
Last updated
07/08/2022
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