Individual
STACY LEE MASSHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
709 S BROAD ST, MECHANICSBURG, PA 17055-4007
(717) 610-0915
Mailing address
709 S BROAD ST, MECHANICSBURG, PA 17055-4007
(774) 272-3579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001097
PA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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