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MISS TARA DAWN DANIELE MSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1700022183

Individual Registrant:
MISS TARA DAWN DANIELE MSW
Gender: F
Sole Proprietor

Location and contact information for practice:
RR 2 BOX 2340  CANADENSIS, PA 18325-9710 US
Tel: 570-595-6055  Fax: 570-595-6013

Contact information for business:
RR 2 BOX 2340  CANADENSIS, PA 18325-9710 US
Tel: 570-595-6055  Fax: 570-595-6013

Registration Information:
NPI: 1700022183
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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