Provider First Line Business Practice Location Address:
474 GROVE STREET
Provider Second Line Business Practice Location Address:
WAYNE HIGHLANDS SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
HONESDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18431-6605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-253-3010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/07/2016