Individual
MRS. STACEY HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
207 NORTHWIND DR, GOODLETTSVILLE, TN 37072-2919
(970) 688-1401
Mailing address
PO BOX 1302, MADISON, TN 37116-1302
(615) 450-1004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7097
TN
1041C0700X
Clinical Social Worker
CSW639
CO
Other
Enumeration date
09/01/2009
Last updated
07/16/2024
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