Individual
SHAWNA JILL KOSAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
Mailing address
589 WATERFALL DR, JOHNSTOWN, PA 15906-3825
(814) 262-8876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127748
PA
Other
Enumeration date
02/05/2010
Last updated
02/22/2012
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