Individual
MARISA ALICE FRONCZKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
226 CHURCH ST, EDWARDSVILLE, PA 18704-1631
(570) 406-0902
Mailing address
226 CHURCH STREET, EDWARDSVILLE, PA 18704
(570) 406-0902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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