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1467987453
MIRANDA DILLWORTH
WILKES BARRE, PA
NPI
1467987453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 085282)
Enumeration Date
2017-04-27
Last Update Date
2020-02-20
Business Address
MIRANDA DILLWORTH LCSW, CASAC-T
1111 E END BLVD
WILKES BARRE, PA 18711-0030
Phone number: 000-000-0000
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Mailing Address
MIRANDA DILLWORTH LCSW, CASAC-T
2043 RIVER RD
PHILLIPSBURG, NJ 08865-9474
Phone number: 631-896-6263
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