Individual
MS. STACY LYNN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1036 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 280-6606
Mailing address
1036 SHARON DR, JEFFERSONVILLE, IN 47130-4522
(812) 280-6606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33007962A
IN
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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