Individual
MALLORY KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1081 OAK ST, PITTSTON, PA 18640-3716
(888) 726-4774
(570) 362-5112
Mailing address
508 SR 92 S, TUNKHANNOCK, PA 18657-6916
(570) 369-8773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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