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Individual
STACEY LEE HERRICK
Active
Individual
STACEY LEE HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10058403R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146719FK
PREFERRED CARE
NY
01
—
262637150
UNITED BEHAVIORAL HEALTH
NY
01
—
7295587
AETNA
NY
01
—
P010058403
BLUE CROSS & BLUE SHEILD
NY
Enumeration date
06/12/2006
Last updated
03/17/2018
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