Organization
GMC LCSW LLC
Active
Organization
GMC LCSW LLC
Active
Other names
Gina M. Constantini
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M. CONSTANTINI LCSW (THERAPIST)
(570) 947-3163
Entity
Organization
Contact information
Practice address
241 MAIN ST, B, BLAKELY, PA 18447-1233
(570) 947-3163
Mailing address
241 MAIN ST, B, BLAKELY, PA 18447-1233
(570) 947-3163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015803
—
Other
Enumeration date
10/12/2012
Last updated
11/06/2012
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