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Organization
NUTRITION COUNSELING SERVICES INC
Active
Organization
NUTRITION COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYNN C KSIAZEK MS, RD, CDE, LDN (OWNER)
(570) 347-7127
Entity
Organization
Contact information
Practice address
313 E DRINKER ST, DUNMORE, PA 18512-2408
(570) 347-7127
(570) 347-1831
Mailing address
313 E DRINKER ST, DUNMORE, PA 18512-2408
(570) 347-7127
(570) 347-1831
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077712630002
—
PA
Enumeration date
12/10/2010
Last updated
12/10/2010
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