Individual
PATRICK MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MULBERRY ST STE 201, SCRANTON, PA 18503-1233
(570) 955-5479
Mailing address
300 MULBERRY ST STE 201, SCRANTON, PA 18503-1233
(570) 955-5479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136176
PA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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