Individual
DIANA ROSE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
500 AVENUE S, MATAMORAS, PA 18336-1649
(570) 296-1800
Mailing address
128 PHILLIPS LN, MILFORD, PA 18337-7661
(917) 318-5866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137305
PA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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