Individual
MRS. MAYA BLANC COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
418 WAVERLY WOODS DR, HARRISBURG, PA 17110-3998
(717) 540-5536
Mailing address
418 WAVERLY WOODS DR, HARRISBURG, PA 17110-3998
(717) 540-5536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW125731
PA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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