Stacie Gayle Newberry LCSW

NPI 1487801908 - Social Worker - 1041C0700X

NPI Details
NPI 1487801908
Gender Female
Enumeration Date 08/27/2008
Last Updated 08/28/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1110 RADER RUN
BLOOMINGTON IL, 61704-6338, US
Phone (314) 603-3577
Fax
Business Location
1110 RADER RUN
BLOOMINGTON IL, 61704-6338, US
Phone (314) 603-3577
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Missouri
License Number 2006008951
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According to our database, Stacie Gayle Newberry LCSW NPI is 1487801908, taxonomy code is 1041C0700X and license number is 2006008951, license state is located at Missouri. Stacie Gayle Newberry LCSW physically located at 1110 Rader Run, Bloomington IL, 61704-6338. NPI Number Stacie Gayle Newberry LCSW has the Individual type.

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1487801908 NPI number is provided on an as is basis without warranty of any kind. 1487801908 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Gayle Newberry LCSW are for informational purposes only.