Individual
JACQUELYN ROTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 BUFFALO RD, SUITE 204, LEWISBURG, PA 17837-1159
(570) 524-5294
(570) 577-1957
Mailing address
130 BUFFALO RD, SUITE 204, LEWISBURG, PA 17837-1159
(570) 524-5294
(570) 577-1957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015664
PA
Other
Enumeration date
04/25/2007
Last updated
11/06/2007
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