Most Relevant Information
Provider Data
| NPI Number: | 1003501883 |
| Provider Name: | JENNIFER FITHIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW140887 |
Most Important Dates
| Enumeration Date: | 04/07/2023 |
| Last Updated: | 10/26/2023 |
Provider Practice Location
120 S HIGHLAND ST
LOCK HAVEN
PA
177452812
Practice Location Phone/Fax
| Phone: | 5707487173 |
| Fax: | 5707485717 |
Provider Mailing Location
120 S HIGHLAND ST
LOCK HAVEN
PA
177452812
Provider Mailing Phone/Fax
| Phone: | 5707487173 |
| Fax: | 5707485717 |