Individual
JENNIFER J ERVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 SOUTH PENNSYLVANIA AVENUE, WILKES-BARRE, PA 18701-3301
(570) 552-3900
(570) 552-3907
Mailing address
110 SOUTH PENNSYLVANIA AVENUE, WILKES-BARRE, PA 18701-3301
(570) 552-3900
(570) 552-3907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015081
PA
Other
Enumeration date
07/20/2006
Last updated
08/06/2009
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