Provider Demographics
NPI:1902360282
Name:FRANCOIS, MARIE DES LYS (MSW)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:DES LYS
Last Name:FRANCOIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 MOUNTAIN DR APT 103
Mailing Address - Street 2:
Mailing Address - City:MOUNT POCONO
Mailing Address - State:PA
Mailing Address - Zip Code:18344-1706
Mailing Address - Country:US
Mailing Address - Phone:484-719-2497
Mailing Address - Fax:
Practice Address - Street 1:11 MOUNTAIN DR APT 103
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1706
Practice Address - Country:US
Practice Address - Phone:484-719-2497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1497229421OtherMINDBRIDGE GROUP, LLC