Individual
COLLEEN RECKLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1300 OLD PLANK RD, MAYFIELD, PA 18433-1973
(570) 281-6222
Mailing address
31 CHRISTY LN, SCOTT TOWNSHIP, PA 18447-7723
(570) 575-2312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127222
PA
1041C0700X
Clinical Social Worker
Primary
CW021521
PA
Other
Enumeration date
11/25/2019
Last updated
12/10/2020
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