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Individual

MS. DIANA M GIOVAGNOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
122 N BROADWAY, WIND GAP, PA 18091-1274
(570) 369-6865
Mailing address
PO BOX 682, POCONO SUMMIT, PA 18346-0682
(570) 369-6865

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW124168
PA
1041C0700X
Clinical Social Worker
Primary
CW016864
PA

Other

Enumeration date
03/16/2007
Last updated
02/04/2011
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