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Individual
MS. EDIE LAINE STONE
Active
Individual
MS. EDIE LAINE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00041301
WA
1041C0700X
Clinical Social Worker
Primary
36992
CA
1041C0700X
Clinical Social Worker
4874-LCSW
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600646725
—
OR
01
—
R162174
MEDICARE PTAN
OR
Enumeration date
01/22/2007
Last updated
11/06/2014
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