Individual
HOLLY STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 N 9TH AVE, APT 3, ALTOONA, PA 16601-5779
(814) 330-6154
Mailing address
404 N 9TH AVE, APT 3, ALTOONA, PA 16601-5779
(814) 330-6154
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126490
PA
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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