Individual
DEANO GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 DARTMOUTH DR., BLDG 4 UNIT 3, EAST STROUDSBURG, PA 18301
(570) 730-4211
Mailing address
PO BOX 10, BARTONSVILLE, PA 18321-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138469
PA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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