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Individual
STACI L VANZANT
Active
Individual
STACI L VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
34005480A
IN
1041C0700X
Clinical Social Worker
108845
CA
1041C0700X
Clinical Social Worker
Primary
34005480A
IN
1041C0700X
Clinical Social Worker
44SC05705800
NJ
1041C0700X
Clinical Social Worker
Q1-0001717
DE
Other
Enumeration date
02/15/2008
Last updated
11/05/2025
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