Individual
HANNAH UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
225 NICHOLS ST, WELLSBORO, PA 16901-1144
(610) 715-2387
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW142071
PA
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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