Individual
VANESSA DURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
189 MARKET ST, KINGSTON, PA 18704-5400
(570) 721-0221
Mailing address
120 PARKWAY BLVD APT 1, KINGSTON, PA 18704-5742
(570) 721-0221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135128
PA
Other
Enumeration date
12/25/2018
Last updated
12/25/2018
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