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Individual
STACIE WARD
Active
Individual
STACIE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Q1-0001251
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Q1-0001251
DE
101YM0800X
Mental Health Counselor
Primary
Q1-0001251
DE
101YP2500X
Professional Counselor
Q1-0001251
DE
104100000X
Social Worker
Q1-0001251
DE
106H00000X
Marriage & Family Therapist
Q1-0001251
DE
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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