Individual
STEPHANIE NICOLE CLOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 SHERMANS VALLEY RD, NEW BLOOMFIELD, PA 17068-8547
(717) 582-9922
Mailing address
150 RINGNECK DR, NEWPORT, PA 17074-8821
(717) 275-2382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-114044
PA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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