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Individual
STACI R MCWOODS
Active
Individual
STACI R MCWOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2019031610
MO
1041C0700X
Clinical Social Worker
Primary
2023004758
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14530152
CAQH
—
05
—
490076397
—
MO
Enumeration date
08/15/2019
Last updated
03/10/2026
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