Individual
CONSTANCE M WALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
564 MAIN ST, STROUDSBURG, PA 18360-2004
(570) 420-8070
(570) 424-6487
Mailing address
213 E BROAD ST, EAST STROUDSBURG, PA 18301-2307
(570) 420-0230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002712
PA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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