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Individual

MISS TARA DAWN DANIELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
RR 2 BOX 2340, CANADENSIS, PA 18325-9710
(570) 595-6055
(570) 595-6013
Mailing address
RR 2 BOX 2340, CANADENSIS, PA 18325-9710
(570) 595-6055
(570) 595-6013

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/06/2009
Last updated
01/06/2009
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