Individual
MARISA PINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 S COMMERCE WAY STE 300, BETHLEHEM, PA 18017-8611
(610) 691-8401
(610) 691-0647
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132099
PA
Other
Enumeration date
11/26/2016
Last updated
11/28/2016
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