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Individual

TERESA TESTRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Mailing address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW130484
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030754740006
PA
Enumeration date
05/05/2015
Last updated
06/08/2021
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