Individual
MS. ANTHONETTE NICOLE DEPRIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
154 MAIN ST, BLOSSBURG, PA 16912-1144
(570) 638-2367
Mailing address
154 MAIN ST, BLOSSBURG, PA 16912-1144
(570) 638-2367
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016259
PA
Other
Enumeration date
07/24/2007
Last updated
01/23/2012
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