Individual
DIANE CAROL STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 S LANSDOWNE AVE, LANSDOWNE, PA 19050-2343
(267) 253-8308
(610) 626-1264
Mailing address
121 N OAK AVE, CLIFTON HEIGHTS, PA 19018-1426
(267) 253-8308
(610) 259-0562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW 3011 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019497580001
—
PA
Enumeration date
06/11/2006
Last updated
07/01/2016
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