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905 W Governor Rd Hershey PA 17033-2307 | |
| (800) 243-1455 | |
| (717) 531-7269 |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 905 W Governor Rd, Hershey, Pennsylvania |
| Authorized Official Name and Position | Donald Mckenna (PRESIDENT) |
| Authorized Official Contact | 7175313979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 University Dr Hershey PA 17033-2360 Ph: (800) 243-1455 | 905 W Governor Rd Hershey PA 17033-2307 Ph: (800) 243-1455 |
| NPI Number | 1104117480 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104117480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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