Bostrom, Stacy De Vries
Bostrom, Stacy De Vries is an individual health care provider with primary practice located at 474 W Vermont Ave Suite 103, Escondido CA 92025-6584. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bostrom, Stacy De Vries can be contacted via phone (760) 745-0281.Contact Information
Primary practice address
474 W Vermont Ave Suite 103
Escondido CA 92025-6584
Phone: (760) 745-0281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1396875779 |
|---|---|
| LBN Legal business name | Bostrom, Stacy De Vries |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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