Gill, Stacey Marie

Gill, Stacey Marie is an individual health care provider with primary practice located at 1055 E Baltimore Pike Ste 303 , Media PA 19063-5173. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gill, Stacey Marie can be contacted via phone (267) 807-3169.

Contact Information

Primary practice address
1055 E Baltimore Pike Ste 303 Media PA 19063-5173
Phone: (267) 807-3169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015968 Pennsylvania

Profile Details

NPI number 1447305271
LBN Legal business name Gill, Stacey Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Feb 15th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447305271 NPPES
Pennsylvania Other CW015968 PA LICENSE BOARD OF SOCIAL WORKERS

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