Individual
AMY LYNN ROCCOGRANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1172 TWIN STACKS DR, DALLAS, PA 18612-8505
(570) 674-1505
(570) 674-8679
Mailing address
310 MARKET ST, KINGSTON, PA 18704-5425
(570) 763-5026
(570) 283-0484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/22/2015
Last updated
03/08/2017
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