Individual
TAMMY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(888) 726-4774
Mailing address
823 BOTTOM RD, MILLVILLE, PA 17846-8672
(570) 394-0612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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