Individual
THERESA SKOTLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 MAIN ST, PECKVILLE, PA 18452-2103
(570) 307-9023
Mailing address
121 S TURNPIKE RD, DALTON, PA 18414-9508
(570) 878-7586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129466
PA
Other
Enumeration date
11/29/2021
Last updated
07/06/2023
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