Individual
MARISOL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
120 E KLEINHANS ST, EASTON, PA 18042-6762
(484) 951-2352
Mailing address
120 EAST KLEINHANS ST, EASTON, PA 18042
(484) 951-2352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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