Individual
COURTNEY ELIZABETH STASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 INDUSTRIAL PARK RD, EBENSBURG, PA 15931-4116
(814) 472-6105
(814) 472-0865
Mailing address
202 KLONDIKE RD, PATTON, PA 16668-6901
(814) 414-6510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134275
PA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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