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Individual
STACI HINES
Active
Individual
STACI HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
FL
1041C0700X
Clinical Social Worker
6801097817
MI
1041C0700X
Clinical Social Worker
Primary
SW19723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113970600
—
FL
05
—
1514
—
MI
Enumeration date
10/26/2016
Last updated
09/09/2025
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