Individual
MARK ALAN STOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 MAPLE AVE, DU BOIS, PA 15801-2376
(814) 375-6379
(814) 375-9320
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6379
(814) 375-9320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW014010
PA
Other
Enumeration date
07/13/2006
Last updated
11/01/2012
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