ERICA BANICKY

WILKES BARRE, PA
NPI1508181652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-04-01
Last Update Date2010-04-01
Business Address
-- ERICA BANICKY BA
REAR 307 LAIRD ST CHOICES RECOVERY PROGRAM
WILKES BARRE, PA 18702
Phone number: 570-408-9320
Mailing Address
-- ERICA BANICKY BA
REAR 307 LAIRD STREET CHOICES PROGRAM OF WYOMING VALLEY
WILKES BARRE, PA 18702
Phone number: 570-408-9320
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