Most Relevant Information
Provider Data
| NPI Number: | 1003567744 |
| Provider Name: | THERESA MICHELE JEFFRIES MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2022 |
| Last Updated: | 01/14/2022 |
Provider Practice Location
800 PLAZA DR STE 270
ROSTRAVER TOWNSHIP
PA
150124020
Practice Location Phone/Fax
| Phone: | 7242581226 |
| Fax: | 7243791452 |
Provider Mailing Location
443 UNION ST
BROWNSVILLE
PA
154179601
Provider Mailing Phone/Fax
| Phone: | 7247974529 |
| Fax: | 7243791452 |