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Individual
STACIE E BUONAURA
Active
Individual
STACIE E BUONAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CRAADC
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2006006713
MO
1041C0700X
Clinical Social Worker
Primary
2006006713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11627576
CAQH
—
01
—
2794
EAP IMPACT
—
01
—
431116734
EAP INTERFACE
—
01
—
431823864
CORPHEALTH
—
05
—
490255502
—
MO
01
—
552122
FORTIS/HEALTHLINK
—
01
—
HEALTHLINK FREEDOM
552122
—
Enumeration date
05/17/2006
Last updated
04/18/2013
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