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Individual

CHEYENNE TASSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
600 HAVERFORD RD, HAVERFORD, PA 19041-1139
(610) 664-2524
Mailing address
2 BRYNWOOD MNR, NARBERTH, PA 19072-1709
(347) 675-2471

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
088055
NY

Other

Enumeration date
03/06/2023
Last updated
03/06/2023
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