Individual
MANDY SUE KOLB LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MS
Contact information
Practice address
405 SILVER MAPLE CT, MOUNT WOLF, PA 17347-9803
(717) 495-0136
Mailing address
405 SILVER MAPLE CT, MOUNT WOLF, PA 17347-9803
(717) 495-0136
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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