Individual
STACY TASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3447 PIPING PLOVER DR, RALEIGH, NC 27616-9732
(516) 426-4897
Mailing address
3447 PIPING PLOVER DR, RALEIGH, NC 27616-9732
(516) 426-4897
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092109
NY
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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