Individual
STACEY R. SCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2630 CENTRAL AVE, MENTAL HEALTH CLINIC AND FAMILY ADVOCACY PROGRAM, EIELSON AFB, AK 99702-2301
(907) 377-4041
Mailing address
PO BOX 74508, FAIRBANKS, AK 99707-4508
(425) 985-7025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00009520
WA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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