Individual
MR. DOMINIC ANTHONY MOROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACSW LCSW
Contact information
Practice address
20 W 1ST ST, HAZLETON, PA 18201-5102
(570) 401-5979
Mailing address
20 W 1ST ST, HAZLETON, PA 18201-5102
(570) 401-5979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05298300
NJ
1041C0700X
Clinical Social Worker
Primary
CW013575
PA
Other
Enumeration date
02/23/2007
Last updated
02/01/2013
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