Individual
LORI A. KISHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N BLAKELY ST, DUNMORE, PA 18512-1943
(570) 342-8434
Mailing address
120 DEBBIE DR, JEFFERSON TOWNSHIP, PA 18436-3200
(570) 689-2946
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW007393L
PA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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