| Mshmc Licensed Social Worker | |
|
22 Northeast Dr Hershey PA 17033-2732 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | Mshmc Licensed Social Worker |
|---|---|
| Speciality | Social Worker |
| Location | 22 Northeast Dr, Hershey, Pennsylvania |
| Authorized Official Name and Position | Paul G. Swinko (INTERIM CFO) |
| Authorized Official Contact | 7175318405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mshmc Licensed Social Worker Po Box 858 Hershey PA 17033-0858 Ph: (800) 243-1455 | Mshmc Licensed Social Worker 22 Northeast Dr Hershey PA 17033-2732 Ph: (800) 243-1455 |
| NPI Number | 1336386408 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336386408 | NPI | - | NPPES |
| 05029 | Other | PA | DEPT OF HEALTH FACILITY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 05029 (Pennsylvania) | Primary |
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