Individual
GINA MARIE CALAVANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 CARMALT ST, DICKSON CITY, PA 18519-1406
(570) 687-6070
Mailing address
841 CARMALT ST, DICKSON CITY, PA 18519-1406
(570) 687-6070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
02/23/2022
Last updated
03/10/2022
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