Gmc Lcsw LLC

NPI #1164774279 in Blakely, Pennsylvania

Provider Information

NPI Number: 1164774279
Entity Type: Organization
Organization Name: Gmc Lcsw LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 12, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 241 MAIN ST
Address 2: B
City: Blakely
State: Pennsylvania
ZIP Code: 18447-1233
Phone: (570) 947-3163

Authorized Official

Name: GINA M. CONSTANTINI, LCSW
Title: THERAPIST
Phone: (570) 947-3163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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