Individual
JESSICA VANDERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
846 S MAIN ST, TOWANDA, PA 18848-1862
(570) 268-3073
(570) 268-3080
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1350
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137722
PA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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