Individual
SABREENA KAY TIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 BIRNEY AVE, MOOSIC, PA 18507-1301
(570) 489-5561
Mailing address
1717 MONROE AVE, DUNMORE, PA 18509-2039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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