| Jo Llc | |
|
120 N Abington Rd Clarks Green PA 18411-2541 | |
| (570) 479-1626 | |
| (570) 586-2196 |
| Full Name | Jo Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 N Abington Rd, Clarks Green, Pennsylvania |
| Authorized Official Name and Position | Jennifer P Odom (THERAPIST) |
| Authorized Official Contact | 5704791626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Llc 120 N Abington Rd Clarks Green PA 18411-2541 Ph: (570) 479-1626 | Jo Llc 120 N Abington Rd Clarks Green PA 18411-2541 Ph: (570) 479-1626 |
| NPI Number | 1780122150 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780122150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017373 (Pennsylvania) | Primary |
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