Individual
EDWARD A PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
8 W BROAD ST, SUITE 308, HAZLETON, PA 18201-6424
(570) 436-7022
(580) 534-0997
Mailing address
8 W BROAD ST STE 308, HAZLETON, PA 18201-6427
(570) 436-7022
(570) 534-0997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129221
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231
CERTIFIED ADVANCED ALCOHOL AND DRUG COUNSELOR
PA
01
—
SW129221
SOCIAL WORKER
PA
Enumeration date
07/29/2013
Last updated
02/10/2017
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