Individual
JESSICA E MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1315 S ALLEN ST, STATE COLLEGE, PA 16801-5923
(347) 319-6710
Mailing address
1315 S ALLEN ST STE 303, STATE COLLEGE, PA 16801-5923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137865
PA
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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