Individual
AUTUMN LEE TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1117 13TH AVE, ALTOONA, PA 16601-3431
(814) 932-6906
Mailing address
905 N 4TH AVE, ALTOONA, PA 16601-6109
(814) 932-6906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130197
PA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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