Most Relevant Information
Provider Data
| NPI Number: | 1003265125 |
| Provider Name: | LETASHA ANNE TEDROW BA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2016 |
| Last Updated: | 06/09/2016 |
Provider Practice Location
100 CALDWELL DR
DU BOIS
PA
158011152
Practice Location Phone/Fax
| Phone: | 8143711100 |
| Fax: | 8143750120 |
Provider Mailing Location
793 OLD ROUTE 119 HWY N
INDIANA
PA
157011372
Provider Mailing Phone/Fax
| Phone: | 7244655576 |
| Fax: | 7244656379 |