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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