Individual
MRS. KELLI A MERCURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
416 NORTON RD, STROUDSBURG, PA 18360-9108
(973) 769-7274
Mailing address
416 NORTON RD, STROUDSBURG, PA 18360-9108
(973) 769-7274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW012675L
PA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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