Individual
JASON ANTHONY KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 CEMETERY RD, WAPWALLOPEN, PA 18660-1222
(570) 239-8197
Mailing address
24 CEMETERY RD, WAPWALLOPEN, PA 18660-1222
(570) 239-8197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018334
PA
Other
Enumeration date
02/03/2019
Last updated
02/03/2019
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