Individual
COURTNEY BROOKE KUBOVCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W CRAWFORD AVE, CONNELLSVILLE, PA 15425-2538
(724) 603-2657
Mailing address
116 MEMORIAL ST, DUNBAR, PA 15431-1622
(412) 655-4362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW137361
STATE LICENSE
PA
Enumeration date
05/06/2022
Last updated
05/06/2022
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