Individual
MR. TERRY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
13 MCINROY ST, APT. A, WELLSBORO, PA 16901-1607
(570) 244-7952
Mailing address
13 MCINROY ST, APT. A, WELLSBORO, PA 16901-1607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122848
PA
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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