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Organization
MIRIAM HARTLEY LCSW, LLC
Active
Organization
MIRIAM HARTLEY LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM INEZ HARTLEY MSW, LCSW (LCSW/OWNER)
(570) 674-1155
Entity
Organization
Contact information
Practice address
1124 TWIN STACKS DR, DALLAS, PA 18612-8505
(570) 674-1155
(570) 674-1156
Mailing address
1124 TWIN STACKS DR, DALLAS, PA 18612-8505
(570) 674-1155
(570) 674-1156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW017835
PA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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