Individual
TAVA SUE JURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
18 N FRONT ST, PHILIPSBURG, PA 16866-1602
(814) 342-2333
Mailing address
18 N FRONT ST, PHILIPSBURG, PA 16866-1602
(814) 342-2333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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