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Individual
MS. STEPHANIE LORETTA WILLOUGHBY
Active
Individual
MS. STEPHANIE LORETTA WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13792
CT
1041C0700X
Clinical Social Worker
Primary
44SC06149200
NJ
1041C0700X
Clinical Social Worker
L15086
OR
1041C0700X
Clinical Social Worker
LW.61519209
WA
Other
Enumeration date
01/02/2023
Last updated
04/19/2025
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