Individual
MS. CHARLENE MOYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Mailing address
356 LODER ST, SOUTH WAVERLY, PA 18840-2611
(570) 882-7414
(570) 888-1204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0122161
PA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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