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1427881689
STEPHEN BRUSH
OLD FORGE, PA
NPI
1427881689
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW137182)
Enumeration Date
2024-08-22
Last Update Date
2025-01-20
Business Address
STEPHEN BRUSH
121 MOOSIC RD
OLD FORGE, PA 18518-2082
Phone number: 570-342-8434
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Mailing Address
STEPHEN BRUSH
1251 WYOMING AVE
EXETER, PA 18643-1434
Phone number: 570-342-8434
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