Individual
ANTHONY STANISCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5613 N BRONCO LN, PRESCOTT VALLEY, AZ 86314-5856
(928) 277-0686
Mailing address
5613 N BRONCO LN, PRESCOTT VALLEY, AZ 86314-5856
(928) 277-0686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15247
AZ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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