Most Relevant Information
Provider Data
NPI Number: | 1003344243 |
Provider Name: | BROOKE LIPTAK |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 06/01/2017 |
Last Updated: | 06/01/2017 |
Provider Practice Location
125 CHAFFEE ST
UNIONTOWN
PA
154014605
Practice Location Phone/Fax
Phone: | 7244370729 |
Fax: |
Provider Mailing Location
100 NEW SALEM RD STE 116
UNIONTOWN
PA
154018936
Provider Mailing Phone/Fax
Phone: | |
Fax: |