Individual
EDNA STICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2911 STATE ST, ERIE, PA 16508-1831
(814) 464-8311
(814) 464-8462
Mailing address
2185 W 8TH ST, ERIE, PA 16505-4747
(814) 464-8311
(814) 464-8462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CW016547
PA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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