Individual
JASON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 BIRNEY AVE, MOOSIC, PA 18507-1323
(570) 961-3361
Mailing address
1122 FARBER CT, DUNMORE, PA 18510-1346
(570) 445-0412
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141912
PA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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