Individual
MRS. TANIECIA NICOLE MCCLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LSW
Contact information
Practice address
531 MT PLEASANT DR, SCRANTON, PA 18503-1987
(570) 342-8500
Mailing address
1666 MARINA DR, TOBYHANNA, PA 18466-3615
(973) 280-1474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
139023
PA
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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