Individual
TIFFANY MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4967 AVONIA RD, FAIRVIEW, PA 16415-1265
(814) 474-2600
Mailing address
553 W 5TH ST, ERIE, PA 16507-1122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138081
PA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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