Jennifer L South, PC
NPI #1114429131 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1114429131
- Entity Type
- Individual
- Name
- Jennifer L South, PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- PC
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Apr 25, 2018
Practice Location
- Address
- 110 CAMPUS DR
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1982
- Phone
- (814) 362-6535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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