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NPI Code Detail

MEDICARE: PATRICIA STOUGH LSW

MEDICARE: PATRICIA STOUGH LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSW135485PA

General Provider Information

NPI Number : 1124592415
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA STOUGH LSW
Provider Business Mailing Address
First Line : 5800 LEWISBERRY RD
Second Line :
City : DOVER
State : PA
Zip : 17315-1831
Country : US
Telephone Number : 717-873-3688
Fax Number :
Provider Business Practice Location Address
First Line : 41 E ORANGE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2846
Country : US
Telephone Number : 717-393-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2019
Last Update Date : 01/19/2019

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Directions to “ PATRICIA STOUGH LSW” Practice Location

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