Individual
DEBORAH RAE STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 S 19TH ST, CAMP HILL, PA 17011-5459
(717) 775-3380
Mailing address
17 S 19TH ST, CAMP HILL, PA 17011-5459
(717) 775-3380
(717) 775-3382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC3490
ME
1041C0700X
Clinical Social Worker
Primary
CW018610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017061
ANTHEM
ME
01
—
1037187
CIGNA
ME
05
—
127160100
—
ME
Enumeration date
08/21/2006
Last updated
03/30/2018
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