Individual
MARINA PUSATERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Mailing address
120 S HIGHLAND ST, LOCK HAVEN, PA 17745-2812
(570) 748-7173
(570) 748-5717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW122530
PA
101YM0800X
Mental Health Counselor
SW122530
PA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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