Individual
ANTHONY KOFALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1302 7TH AVE, BEAVER FALLS, PA 15010-4217
(724) 843-0314
(724) 843-0316
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 843-0314
(724) 843-0316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024808920002
—
PA
Enumeration date
10/22/2008
Last updated
07/21/2022
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