| The Door | |
|
102 Sawkill Ave Milford PA 18337-1018 | |
| (570) 296-5433 | |
| Not Available |
| Full Name | The Door |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 102 Sawkill Ave, Milford, Pennsylvania |
| Authorized Official Name and Position | Agnes M Raeven (OWNER) |
| Authorized Official Contact | 5702965433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Door 102 Sawkill Ave Milford PA 18337-1018 Ph: (570) 296-5433 | The Door 102 Sawkill Ave Milford PA 18337-1018 Ph: (570) 296-5433 |
| NPI Number | 1871920538 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871920538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW128042 (Pennsylvania) | Primary |
| 101YM0800X | Counselor - Mental Health | 44SC00866300 (New Jersey) | Secondary |
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