Individual
TAMARA HENDERSHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1169 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 904-7363
(570) 227-1591
Mailing address
1169 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 904-7363
(570) 227-1591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127389
PA
Other
Enumeration date
06/19/2007
Last updated
05/30/2024
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