| NPI | 1730670274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE LINDAU DAUGHERTY Licensed Clinical Social Worker 814-404-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015757) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |