Individual
MR. DANIEL DEVIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-0183
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-0183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/08/2015
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