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Organization

MARGUERITE MOSACK, PHD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGUERITE MOSACK PH.D. (PSYCHOLOGIST/OWNER)
(570) 283-5580
Entity
Organization

Contact information

Practice address
239 SCHUYLER AVE, SUITE 350, KINGSTON, PA 18704-3336
(570) 283-5580
(570) 283-5583
Mailing address
239 SCHUYLER AVE, SUITE 350, KINGSTON, PA 18704-3336
(570) 283-5580
(570) 283-5583

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1041C0700X
Clinical Social Worker
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01600625
PA
Enumeration date
03/09/2015
Last updated
03/09/2015
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