Provider First Line Business Practice Location Address:
1198 CHIPPERFIELD DRIVE
Provider Second Line Business Practice Location Address:
STROUDSBURG JUNIOR HIG SCHOOL
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-4848
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2006