Individual
TABATHA DESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
24727 ROUTE 6, TOWANDA, PA 18848-8257
(570) 265-0100
Mailing address
122 ELMIRA ST, TROY, PA 16947-1202
(570) 526-6060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139226
PA
Other
Enumeration date
04/20/2022
Last updated
04/10/2026
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