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Individual
STACEY H ALLEN
Active
Individual
STACEY H ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05951700
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05848000
NJ
Other
Enumeration date
10/24/2016
Last updated
06/10/2025
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