Individual
MRS. CHRISTY STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 E GATE DR, CHERRY HILL, NJ 08034-2803
(856) 810-7599
(856) 810-7662
Mailing address
206 N VENDOME AVE, MARGATE CITY, NJ 08402-1246
(609) 839-6348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04407400
NJ
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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