Individual
MRS. MICHELLE MARY DILLAENE TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, MSW, LCSW
Contact information
Practice address
828 W. GORE ROAD, ERIE, PA 16509
(814) 868-3535
Mailing address
828 W. GORE ROAD, ERIE, PA 16509
(814) 868-3535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW016814
PA
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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