Individual
JENNIFER ANN LYRISTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
283 BUTLER RD, MOUNT GRETNA, PA 17064-6085
(717) 273-8871
Mailing address
1159 STONE HILL RD, CONESTOGA, PA 17516-9634
(717) 399-3442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017549
PA
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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