Stacy Lynn Cannavino, LCSW

NPI #1457724361 in Athens, Pennsylvania

Provider Information

NPI Number: 1457724361
Entity Type: Individual
Name: Stacy Lynn Cannavino, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 2, 2015
Last Updated: Aug 26, 2022

Practice Location

Address: 104 WATER ST
City: Athens
State: Pennsylvania
ZIP Code: 18810-1002
Phone: (570) 423-0365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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