Individual
LISA DANIELLE CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1419 N 9TH ST, STROUDSBURG, PA 18360-7574
(570) 424-7644
Mailing address
112 SCARLET OAK DR, EFFORT, PA 18330-7991
(570) 350-2529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129686
PA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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