Individual
EMILY B MASCIULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
905 W GOVERNOR RD STE 250, HERSHEY, PA 17033-2308
(717) 531-7235
(717) 531-0067
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW124794
PA
1041C0700X
Clinical Social Worker
Primary
CW016224
PA
Other
Enumeration date
06/01/2007
Last updated
10/03/2017
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