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Individual
STELLA A FARRELL
Active
Individual
STELLA A FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05707200
NJ
1041C0700X
Clinical Social Worker
Primary
087639-1
NY
1041C0700X
Clinical Social Worker
44SC05841800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087639-1
LICENSED CLINICAL SOCIAL WORKER
NY
01
—
44SC05841800
LICENSE CLINICAL SOCIAL WORKER
NJ
Enumeration date
04/04/2017
Last updated
03/28/2019
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