Individual
MS. CAROLYN ELIZABETH MOMM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2045 WESTGATE DR, SUITE 304, BETHLEHEM, PA 18017-7480
(610) 865-8177
(610) 865-2764
Mailing address
1315 ISLAND PARK RD, EASTON, PA 18042-9560
(610) 923-6766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW006358L
LICENSE NUMBER
PA
Enumeration date
04/17/2006
Last updated
07/08/2007
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