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Individual

CARRI NEWCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 489-5561
Mailing address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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