Individual
MS. LISA MAE CARUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
66 N ATHERTON AVE, KINGSTON, PA 18704-5108
(570) 237-2987
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140121
PA
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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