Most Relevant Information
Provider Data
| NPI Number: | 1003634841 |
| Provider Name: | LISA CARUSO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/01/2024 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
2000 W STATE ST
COAL TOWNSHIP
PA
178662807
Practice Location Phone/Fax
| Phone: | 5706485752 |
| Fax: |
Provider Mailing Location
28 N FRONT ST
SUNBURY
PA
178012120
Provider Mailing Phone/Fax
| Phone: | 4233151415 |
| Fax: |