MR. Kevin Lally, LSW

NPI #1447647078 in Mahanoy City, Pennsylvania

Provider Information

NPI Number: 1447647078
Entity Type: Individual
Name: MR. Kevin Lally, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: Apr 21, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 1 W CENTRE ST
City: Mahanoy City
State: Pennsylvania
ZIP Code: 17948-2670
Phone: (570) 773-3470

Specialties & Taxonomy Codes

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

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