Individual
HEATHER LYNN JAY-BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0330
(717) 795-0407
Mailing address
614 SAINT PAUL ST, LEWISBURG, PA 17837-1349
(570) 522-9021
(570) 524-9492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-124655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50053640
CAPITAL BLUE CROSS
PA
Enumeration date
06/02/2006
Last updated
01/14/2008
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