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General NPI Number Information
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NPI Number | 1508479049
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Entity Type | Organization
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Legal Business Name | STUKES COUNSELING & THERAPEUTIC SOLUTIONS
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 545 E LINCOLN HWY
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City | COATESVILLE
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State | PA
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Zip | 19320-5409
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Country | US
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Telephone | 484-378-7971
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 E LINCOLN HWY
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City | COATESVILLE
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State | PA
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Zip | 19320-3544
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ANTHONY D. STUKES
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Credential | LCSW
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Telephone | 717-773-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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