Individual
TARA KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1372 N SUSQUEHANNA TRL STE 330, SELINSGROVE, PA 17870-8974
(570) 743-2323
Mailing address
244 ERDLEY CHURCH RD, WINFIELD, PA 17889-8894
(814) 762-4752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138831
PA
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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