Most Relevant Information
Provider Data
| NPI Number: | 1003004458 |
| Provider Name: | COURTNEY ANNE KRILEY LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW010641L |
Most Important Dates
| Enumeration Date: | 10/11/2007 |
| Last Updated: | 10/11/2007 |
Provider Practice Location
1315 W COLLEGE AVE
STATE COLLEGE
PA
168012776
Practice Location Phone/Fax
| Phone: | 8148613300 |
| Fax: | 8148615163 |
Provider Mailing Location
1315 W COLLEGE AVE
STATE COLLEGE
PA
168012776
Provider Mailing Phone/Fax
| Phone: | 8148613300 |
| Fax: | 8148615163 |