Individual
JOHNNA FRATARCANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1418 MAIN ST STE 207, PECKVILLE, PA 18452-2050
(570) 277-1123
Mailing address
1418 MAIN ST STE 207, PECKVILLE, PA 18452-2050
(570) 277-1123
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW131497
PA
1041C0700X
Clinical Social Worker
Primary
CW020452
PA
Other
Enumeration date
03/26/2015
Last updated
02/12/2021
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