Individual
CAROL E OMIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 850, MC A410, HERSHEY, PA 17033-0850
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW013858
PA
Other
Enumeration date
06/25/2006
Last updated
12/01/2009
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