Individual
JEAN MARIE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4101 BIRNEY AVE, MOOSIC, PA 18507-1323
(570) 589-9294
(570) 961-3364
Mailing address
4101 BIRNEY AVE, MOOSIC, PA 18507-1323
(570) 589-9294
(570) 961-3364
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019219
PA
Other
Enumeration date
10/01/2014
Last updated
11/22/2017
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