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Organization

LIFESPAN FAMILY SERVICES OF PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK A. SHEA LCSW (EXECUTIVE DIRECTOR)
(814) 938-4408
Entity
Organization

Contact information

Practice address
203 LANE AVE, PUNXSUTAWNEY, PA 15767-2118
(814) 938-4408
(814) 690-1850
Mailing address
203 LANE AVE, PUNXSUTAWNEY, PA 15767-2118
(814) 938-4408
(814) 690-1850

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
441380
PA

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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