TINA MARIE DESPORT

LATROBE, PA
NPI1912166158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: PA  SW129788)
Enumeration Date2008-06-03
Last Update Date2013-04-17
Business Address
Mrs. TINA MARIE DESPORT LSW
1001 LIGONIER ST
LATROBE, PA 15650-1832
Phone number: 724-537-0760
Mailing Address
Mrs. TINA MARIE DESPORT LSW
125 HILLSIDE RD
DERRY, PA 15627-2686
Phone number: 724-244-7784