Individual
MS. JANET G STANERUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,ACSW,CEAP,CADC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
(270) 798-8224
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
(270) 798-8224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1107
KY
Other
Enumeration date
09/01/2006
Last updated
02/11/2020
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