Individual
MS. STACY LYNN AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
40 PEARL ST, LANCASTER, PA 17603-3231
(717) 393-8081
(717) 397-8414
Mailing address
200 NORTH 7TH STREET, LEBANON, PA 17046
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW0137191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348654
MHN OF CA
—
Enumeration date
10/20/2005
Last updated
07/08/2007
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