Individual
STACIE ROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
1917 BONO RD, NEW ALBANY, IN 47150-4607
(812) 944-3017
Mailing address
4452 ERIN DR, FLOYDS KNOBS, IN 47119-9372
(812) 923-9451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33002830A
IN
Other
Enumeration date
08/17/2006
Last updated
07/09/2007
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