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Individual

LAKE RODARMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
901 COURT ST, SUNBURY, PA 17801-2853
(570) 286-7121
Mailing address
1422 W MONTGOMERY ST, COAL TOWNSHIP, PA 17866-3316

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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