Individual
DONNA STANLEY
Active
Individual
DONNA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134X0
BCBSNC
NC
01
—
2115023
MAMSI
NC
01
—
310637
MHN
NC
05
—
6002734
—
NC
01
—
C7980
MEDCOST
NC
Enumeration date
10/01/2005
Last updated
03/05/2010
Update your record
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