Doctor Name: | BOBBI JO MCLEAN |
NPI Number: | 1487828331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW014248 |
Business Practice Address: | 207 N Vesper St Lock Haven, PA - 177452017 |
Business Phone Number: | 5707486475 |
Business Fax Number: | |
Mailing Address: | 207 N Vesper St, LOCK HAVEN |
State: | PA |
Postal Code: | 177452017 |
Phone Number: | 5707486475 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW014248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |