Individual
ANNAMARIE NICOLE LYDIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1450 YANKEE HILL RD, BLAIRSVILLE, PA 15717-5158
(724) 840-6144
Mailing address
1450 YANKEE HILL RD, BLAIRSVILLE, PA 15717-5158
(724) 840-6144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CW019934
PA
Other
Enumeration date
04/25/2014
Last updated
08/23/2019
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