Individual
KELLY E. MAFFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4133 MEDICAL CENTER DR, BROAD TOP, PA 16621-9001
(814) 635-2916
(814) 635-2918
Mailing address
7001 CRESTWOOD DR, HUNTINGDON, PA 16652-8257
(814) 599-6186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014449
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102240902-0002
—
PA
05
—
1022409020001
—
PA
01
—
1667176
HIGHMARK BC/BS
PA
Enumeration date
07/17/2006
Last updated
06/06/2024
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