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Organization

HEATHERMARIE SPORTELLI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER MARIE SPORTELLI NCC, LPC (LICENSED PROFESSIONAL COUNSELOR)
(570) 730-1234
Entity
Organization

Contact information

Practice address
529 SEVEN BRIDGE RD, SUITE 207, EAST STROUDSBURG, PA 18301-7937
(570) 730-1234
Mailing address
529 SEVEN BRIDGE RD, SUITE 207, EAST STROUDSBURG, PA 18301-7937
(570) 730-1234

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008010
PA

Other

Enumeration date
04/11/2015
Last updated
06/18/2015
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