Individual
STEPHANIE KASSANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
100 ST LUKES LN, STROUDSBURG, PA 18360-6217
(272) 212-1029
Mailing address
100 ST LUKES LN, STROUDSBURG, PA 18360-6217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004199
PA
Other
Enumeration date
02/02/2017
Last updated
10/17/2020
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