Individual
MS. DANIELLE M CARLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18 S 9TH ST # 12, STROUDSBURG, PA 18360-1630
(802) 379-8437
Mailing address
18 S 9TH ST # 12, STROUDSBURG, PA 18360-1630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
RT005032
PA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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