Individual
CECILIA DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8616 COUNTRY PLACE DR, TOBYHANNA, PA 18466-3362
(570) 656-3660
(570) 504-5913
Mailing address
PO BOX 811, TOBYHANNA, PA 18466-0811
(570) 656-3660
(570) 504-5912
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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