Stephane Marie Elisco

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

License number: Promise# 103010255

Sanctions and listings2

Effective
10 Dec 2021
Official designation
OIG, Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
Federal and PA indefinite suspension Criminal Conviction
medicaid.dhss.delaware.gov
Effective
10 Dec 2021
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov

Positions held1

Period not retained
L.S.W.

Identifiers2

Identifier	Number
ID number	SW124476
NPI number	1467421123

Other names1

Also known as1

Stephane M Elisco

Addresses1

Lawrence, PA

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