Most Relevant Information
Provider Data
| NPI Number: | 1003043266 |
| Provider Name: | JESSICA BEATTY LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW019112 |
Most Important Dates
| Enumeration Date: | 06/16/2009 |
| Last Updated: | 05/24/2019 |
Provider Practice Location
1159 BROWNSTOWN RD
LARIMER
PA
156479704
Practice Location Phone/Fax
| Phone: | 7245905777 |
| Fax: |
Provider Mailing Location
1159 BROWNSTOWN RD
LARIMER
PA
156479704
Provider Mailing Phone/Fax
| Phone: | 7245152696 |
| Fax: |