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Organization

PROVIDENCE COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAHIDA L JONES LSW (THERAPIST)
(570) 350-1294
Entity
Organization

Contact information

Practice address
41 CRYSTAL ST, APT 4, EAST STROUDSBURG, PA 18301-2874
(570) 350-1294
Mailing address
41 CRYSTAL ST, APT 4, EAST STROUDSBURG, PA 18301-2874
(570) 350-1294

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW132221
PA

Other

Enumeration date
06/02/2015
Last updated
06/02/2015
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