Individual
MRS. PAMELA THERESA MAIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
204 HATHAWAY PARK, LEBANON, PA 17042-6162
(717) 274-9777
(717) 274-9815
Mailing address
23 LADYBUG LN, MYERSTOWN, PA 17067-3134
(717) 274-9777
(717) 274-9815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
PA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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