| Miriam Hartley Lcsw, Llc | |
|
1124 Twin Stacks Dr Dallas PA 18612-8505 | |
| (570) 674-1155 | |
| (570) 674-1156 |
| Full Name | Miriam Hartley Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1124 Twin Stacks Dr, Dallas, Pennsylvania |
| Authorized Official Name and Position | Miriam Inez Hartley (LCSW/OWNER) |
| Authorized Official Contact | 5706741155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Hartley Lcsw, Llc 1124 Twin Stacks Dr Dallas PA 18612-8505 Ph: (570) 674-1155 | Miriam Hartley Lcsw, Llc 1124 Twin Stacks Dr Dallas PA 18612-8505 Ph: (570) 674-1155 |
| NPI Number | 1184083834 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184083834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW017835 (Pennsylvania) | Primary |
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