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NPI Code Detail

MEDICARE: MRS. STACY R DUFFEY LCSW

MEDICARE:  MRS. STACY R DUFFEY  LCSW
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 WorkerSW001367LPA

General Provider Information

NPI Number : 1295767051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACY R DUFFEY LCSW
Provider Business Mailing Address
First Line : PO BOX 319
Second Line :
City : BIGLER
State : PA
Zip : 16825-0319
Country : US
Telephone Number : 814-342-5678
Fax Number :
Provider Business Practice Location Address
First Line : 620 WASHINGTON ST
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-1722
Country : US
Telephone Number : 814-643-0309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/16/2020

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Directions to “ MRS. STACY R DUFFEY LCSW” Practice Location

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