Individual
JARON DE AN'TE STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C015332
NC
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127176101
ASSOCIATION OF SOCIAL WORK BOARD (ASWB)
TX
01
—
C015332
ASSOCIATION OF SOCIAL WORK BOARD (ASWB)
NC
Enumeration date
07/23/2020
Last updated
10/09/2022
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