Carr, Stacie Lynn
Carr, Stacie Lynn is an sole proprietor health care provider with primary practice located at 1304 Plum Ave , Mount Vernon IL 62864-2532. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carr, Stacie Lynn can be contacted via phone (618) 335-7364.Contact Information
Primary practice address
1304 Plum Ave
Mount Vernon IL 62864-2532
Phone: (618) 335-7364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.014120 | Illinois |
Profile Details
| NPI number | 1093034415 |
|---|---|
| LBN Legal business name | Carr, Stacie Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2010 |
| Last updated | Mar 5th, 2015 - about 10 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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