Provider Demographics
NPI:1891080735
Name:JUMET, MARIETTE CECILE SERVAIS (MSW/LSW)
Entity Type:Individual
Prefix:
First Name:MARIETTE
Middle Name:CECILE SERVAIS
Last Name:JUMET
Suffix:
Gender:F
Credentials:MSW/LSW
Other - Prefix:
Other - First Name:MARIETTE
Other - Middle Name:CECILE SERVAIS
Other - Last Name:JUMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 INTERSTATE PKWY
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-1013
Mailing Address - Country:US
Mailing Address - Phone:814-362-8480
Mailing Address - Fax:
Practice Address - Street 1:159 INTERSTATE PKWY
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1013
Practice Address - Country:US
Practice Address - Phone:814-362-8480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129156104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker