Most Relevant Information
Provider Data
| NPI Number: | 1003408659 |
| Provider Name: | LISA MARIE DEPAUL MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2021 |
| Last Updated: | 02/05/2021 |
Provider Practice Location
515 HAZEL AVE
FOLSOM
PA
190332209
Practice Location Phone/Fax
| Phone: | 2155008815 |
| Fax: |
Provider Mailing Location
515 HAZEL AVE
FOLSOM
PA
190332209
Provider Mailing Phone/Fax
| Phone: | 2155008815 |
| Fax: |