Individual
MS. AUTUMN ROSE TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/MLS/LBS
Contact information
Practice address
90 W CHESTNUT ST STE 117UL, WASHINGTON, PA 15301-4532
(724) 229-0311
(724) 229-3277
Mailing address
616 SHERIDAN AVE, CADIZ, OH 43907-1070
(412) 389-2654
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
BH000506
PA
Other
Enumeration date
01/12/2022
Last updated
03/04/2023
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