Individual
RICHARD D SAN SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 850, MC A410, HERSHEY, PA 17033-0850
(717) 531-5995
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW014171
PA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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