Individual
STEPHEN BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 MOOSIC RD, OLD FORGE, PA 18518-2082
(570) 342-8434
(570) 299-2521
Mailing address
1251 WYOMING AVE, EXETER, PA 18643-1434
(570) 342-8434
(570) 299-2521
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137182
PA
Other
Enumeration date
08/22/2024
Last updated
01/20/2025
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