Provider First Line Business Practice Location Address:
MAREIS CORONATA, LSW
Provider Second Line Business Practice Location Address:
17 SOUTH 6TH STREET
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:
570-856-3354
Provider Business Practice Location Address Fax Number:
610-588-8944
Provider Enumeration Date:
06/04/2007