Individual
MRS. TINA MARIE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1 DORSETT DR, MANSFIELD, PA 16933-1517
(570) 662-2192
Mailing address
1135 BOATMAN RD, KNOXVILLE, PA 16928-9622
(814) 326-4795
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126999
PA
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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