Provider Demographics
NPI:1326500653
Name:DELORME, LIGIA EMILIA (LSW)
Entity Type:Individual
Prefix:MRS
First Name:LIGIA
Middle Name:EMILIA
Last Name:DELORME
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HAWK TER
Mailing Address - Street 2:
Mailing Address - City:SAYLORSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18353-8416
Mailing Address - Country:US
Mailing Address - Phone:570-619-8317
Mailing Address - Fax:
Practice Address - Street 1:31 W 1ST ST STE 1
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-1515
Practice Address - Country:US
Practice Address - Phone:484-619-5988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker