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Individual

LASHAE JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 GALLERIA DR STE 164, JOHNSTOWN, PA 15904-8902
(814) 408-0014
Mailing address
3159 CARPENTERS PARK RD, DAVIDSVILLE, PA 15928-9223
(814) 408-0014

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/08/2024
Last updated
04/08/2024
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