Organization
FOUR WINDS ACUPUNCTURE CLINIC AND INTEGRATIVE THERAPIES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JOHN MANOCCHIO II LCSW (CO-OWNER)
(570) 836-7777
Entity
Organization
Contact information
Practice address
6 SUNNYSIDE RD, TUNKHANNOCK, PA 18657
(570) 836-7777
(570) 836-7479
Mailing address
6 SUNNYSIDE RD, TUNKHANNOCK, PA 18657-6950
(570) 836-7777
(570) 836-7479
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW014668
PA
171100000X
Acupuncturist
Primary
AK000898
PA
Other
Enumeration date
04/16/2008
Last updated
06/11/2018
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