Individual
STACEY LYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LMSW-30182
ID
101YM0800X
Mental Health Counselor
LMSW-30182
ID
104100000X
Social Worker
LMSW-30182
ID
1041C0700X
Clinical Social Worker
Primary
35279
ID
1041C0700X
Clinical Social Worker
LMSW-30182
ID
Other
Enumeration date
01/06/2010
Last updated
06/25/2025
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