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Individual
MRS. MARCIA LOUESA STOLL
Active
Individual
MRS. MARCIA LOUESA STOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149003259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00084321111
BLUECROSSBLUESHIELD PIN
IL
01
—
107001
HEALTH ALLIANCE PIN
IL
01
—
228367000
MAGELLAN PIN
IL
Enumeration date
02/13/2007
Last updated
11/04/2016
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