Individual
MRS. CARLA REED STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CERTIFIED C
Contact information
Practice address
129 CHARLES ST, HANOVER, PA 17331-1807
(717) 524-9326
Mailing address
9 FRANKLIN CT, MCSHERRYSTOWN, PA 17344-1130
(717) 637-1040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000166L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02831600
CAPITAL BLUE CROSS
PA
01
—
1083799563
SOUTH CENTRAL PREFERRED
PA
Enumeration date
10/25/2006
Last updated
11/08/2013
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