Lia Marie Ciotola LCSW

NPI 1720110505 - Social Worker - 1041C0700X

NPI Details
NPI 1720110505
Gender Female
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 W BROAD STREET
SUITE 412 413
HAZLETON PA, 18201, US
Phone (570) 454-0334
Fax (570) 454-2534
Business Location
101 W BROAD STREET
SUITE 412 413
HAZLETON PA, 18201, US
Phone (570) 454-0334
Fax (570) 454-2534
Toxanomy
Taxonomy Code 1041C0700X
License State Pennsylvania
License Number CW012013
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According to our database, Miss Lia Marie Ciotola LCSW NPI is 1720110505, taxonomy code is 1041C0700X and license number is CW012013, license state is located at Pennsylvania. Lia Marie Ciotola LCSW physically located at 101 W Broad Street, Hazleton PA, 18201. NPI Number Lia Marie Ciotola LCSW has the Individual type.

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1720110505 NPI number is provided on an as is basis without warranty of any kind. 1720110505 is maintained by the National Plan & Provider Enumeration System. The contents of Lia Marie Ciotola LCSW are for informational purposes only.