Individual
MRS. MARY ANN BRISLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3 BUTLER OAK DR, MT TOP, PA 18707-9621
(570) 788-4691
(570) 788-4691
Mailing address
3 BUTLER OAK DR, MT TOP, PA 18707-9621
(570) 788-4691
(570) 788-4691
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW003481L
PA
Other
Enumeration date
10/10/2006
Last updated
09/24/2011
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