Individual
MR. JESSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1303C NICHOLAS ST, EASTON, PA 18045
(484) 819-0771
Mailing address
8 SNYDERS LN, MOUNTAIN TOP, PA 18707-1167
(570) 977-1587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135302
PA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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