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Individual

MS. IRMA VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3368 HEMLOCK FARMS, HAWLEY, PA 18428-9145
(570) 775-9051
Mailing address
3368 HEMLOCK FARMS, HAWLEY, PA 18428-9145
(570) 775-9051

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R029248-1
NY

Other

Enumeration date
08/21/2007
Last updated
08/21/2007
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