Jesse Roman, LSW

NPI #1013290295 in Ashland, Pennsylvania

Provider Information

NPI Number: 1013290295
Entity Type: Individual
Name: Jesse Roman, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Sep 23, 2011
Last Updated: Jul 21, 2015

Practice Location

Address: 930 CENTRE ST
City: Ashland
State: Pennsylvania
ZIP Code: 17921-1244
Phone: (570) 205-2066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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