Individual
MRS. ELISA MARIE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LARCH ST FL 3, SCRANTON, PA 18509-2802
(570) 489-5561
Mailing address
627 MAIN ST, DICKSON CITY, PA 18519-1525
(570) 766-1043
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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