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Individual
STACY SCHMIDT
Active
Individual
STACY SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
149016927
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538597828
—
IL
Enumeration date
10/23/2013
Last updated
12/09/2020
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