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Organization

HOLISTIC THERAPEUTIC OUTREACH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN M RODGERS MSW, LSW (SECRETARY/TREASURER)
(610) 577-6092
Entity
Organization

Contact information

Practice address
50 W RIDGE ST, LANSFORD, PA 18232-1342
(570) 805-4711
Mailing address
50 W RIDGE ST, LANSFORD, PA 18232-1342
(570) 805-4711

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128930
PA

Other

Enumeration date
01/20/2012
Last updated
01/20/2012
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