Most Relevant Information
Provider Data
| NPI Number: | 1003460411 |
| Provider Name: | CARA LEIGH DESANTO B.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2019 |
| Last Updated: | 07/25/2019 |
Provider Practice Location
851 COMMERCE BLVD STE 107
DICKSON CITY
PA
185191762
Practice Location Phone/Fax
| Phone: | 5704895561 |
| Fax: | 5704895563 |
Provider Mailing Location
718 E WARREN ST
DUNMORE
PA
185122530
Provider Mailing Phone/Fax
| Phone: | 5708773631 |
| Fax: |