DR. Allen R Stata, PHD, LCSW (PIP) ACSW

NPI #1861934705 in Marion, Alabama

Provider Information

NPI Number: 1861934705
Entity Type: Individual
Name: DR. Allen R Stata, PHD, LCSW (PIP) ACSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: PHD, LCSW (PIP) ACSW
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 104 EDWARDS DRIVE
City: Marion
State: Alabama
ZIP Code: 36756
Phone: (334) 815-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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