Individual
CHARLES GUY MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
29 E MAIN ST, BLOOMSBURG, PA 17815
(570) 951-6799
Mailing address
449 RIDGE RD, UNITYVILLE, PA 17774
(570) 951-6799
(570) 584-4051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015138
PA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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