Mark Kenneth Stafford, BSW, LSW

NPI #1760990444 in Warren, Ohio

Provider Information

NPI Number: 1760990444
Entity Type: Individual
Name: Mark Kenneth Stafford, BSW, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BSW, LSW
Enumeration Date: Jan 17, 2018
Last Updated: Dec 13, 2024

Practice Location

Address: 150 E MARKET ST
City: Warren
State: Ohio
ZIP Code: 44481-1141
Phone: (330) 399-6451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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