Individual
MS. DEANNA JOY FISH-LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63 3RD ST, MANSFIELD, PA 16933-1262
(570) 662-7600
(570) 662-7726
Mailing address
63 3RD ST, MANSFIELD, PA 16933-1262
(570) 662-7600
(570) 663-7726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW007005L
PA
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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