Provider Information for 1538503297
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Ms. JOANN E GAINARD LCSW
Sex: Female
NPI: 1538503297
Last Updated: 2013-04-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1538503297 | ||||||||||||
| Enumeration Date | 2013-04-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 106 SHARPE ST KINGSTON, PA 18704-2813 United States Phone: 570-288-7342 | Fax: | ||||||||||||
| Primary Practice Address | 106 SHARPE ST KINGSTON, PA 18704-2813 United States Phone: 570-288-7342 | Fax: | ||||||||||||
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