MRS. Tina Marie Desport, LSW
NPI #1912166158 in Latrobe, Pennsylvania
Provider Information
- NPI Number
- 1912166158
- Entity Type
- Individual
- Name
- MRS. Tina Marie Desport, LSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LSW
- Enumeration Date
- Jun 3, 2008
- Last Updated
- Apr 17, 2013
Practice Location
- Address
- 1001 LIGONIER ST
- City
- Latrobe
- State
- Pennsylvania
- ZIP Code
- 15650-1832
- Phone
- (724) 537-0760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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