Individual
KEVIN SUBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
Mailing address
1202 STATE ST, ERIE, PA 16501-1914
(814) 454-4530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018978
PA
1041C0700X
Clinical Social Worker
LW60594170
WA
Other
Enumeration date
04/22/2016
Last updated
12/31/2019
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