Individual
ROMULO EMILIO MACIAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 TIM ST, STROUDSBURG, PA 18360-8437
(917) 769-8766
Mailing address
231 TIM ST, STROUDSBURG, PA 18360-8437
(917) 769-8766
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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