Organization
MARK ALAN STOLTZ
Active
Other names
Mark Stoltz LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A STOLTZ LCSW (OWNER)
(814) 771-5544
Entity
Organization
Contact information
Practice address
993 BEAVER DR, DU BOIS, PA 15801-2513
(814) 771-5544
Mailing address
1194 TREASURE LK, DU BOIS, PA 15801-9028
(814) 771-5544
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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