Individual
MS. BEVERLY DOCHSTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
ST. JAMES & THIRD STREET, SUITE 103S, MANSFIELD, PA 16933
(570) 662-7600
(570) 662-7726
Mailing address
ST. JAMES & THIRD STREET, SUITE 103S, MANSFIELD, PA 16933
(570) 662-7600
(570) 662-7726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014589
PA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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