Individual
MRS. CAROL RUANE STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 W 57 STREET, SUITE 205, NEW YORK, NY 10019
(212) 757-0781
Mailing address
345 E 57TH ST, APT 12B, NEW YORK, NY 10022
(212) 605-9963
(212) 759-4889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR0171941
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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