Anderson, Stacie Lynn

Anderson, Stacie Lynn is an individual health care provider with primary practice located at 2370 Market Dr , Fleming Island FL 32003-4326. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Stacie Lynn can be contacted via phone (904) 264-6201.

Contact Information

Primary practice address
2370 Market Dr Fleming Island FL 32003-4326
Fax: (904) 264-6858
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11060 Florida

Profile Details

NPI number 1386167229
LBN Legal business name Anderson, Stacie Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Jul 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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