Provider Information for 1639850753
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PAUL GUFFROVICH LPC, MA, NCC, MBA
Sex: Male
NPI: 1639850753
Last Updated: 2023-07-31
Certification Date: 2023-07-31
Certification Date: 2023-07-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639850753 | ||||||||
| Enumeration Date | 2023-07-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1385 POCONO BLVD MOUNT POCONO, PA 18344-1678 United States Phone: 570-905-6769 | Fax: | ||||||||
| Primary Practice Address | 1385 POCONO BLVD MOUNT POCONO, PA 18344-1678 United States Phone: 570-905-6769 | Fax: | ||||||||
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