Individual
LAURIE JAYNE SPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 LEONARD ST, CLEARFIELD, PA 16830-3200
(814) 205-4004
Mailing address
107 EVERGREEN ST, DU BOIS, PA 15801-1722
(814) 591-2645
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127076
PA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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