Individual
DINA LYNN LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
396 S CENTRE ST, THIRD FLOOR, POTTSVILLE, PA 17901-3596
(570) 573-0247
(570) 621-9888
Mailing address
1529 SWEET ARROW LAKE RD, POTTSVILLE, PA 17901-8712
(570) 573-0247
(570) 621-9888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016059
PA
Other
Enumeration date
07/06/2006
Last updated
04/25/2016
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