Individual
KRISTIE CLARK-STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 LISTONBURG RD, CONFLUENCE, PA 15424-2426
(814) 926-6464
Mailing address
2206 LISTONBURG RD, CONFLUENCE, PA 15424-2426
(814) 926-6464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW010373L
PA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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