Individual
JULIE ANN PERSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
Mailing address
147 PARK ST, DALLAS, PA 18612-1736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW125623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023138850001
—
PA
Enumeration date
10/12/2007
Last updated
10/06/2009
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