Individual
MRS. CARLA REED STAUB
Active
Individual
MRS. CARLA REED STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED CERTIFIED C
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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