Ljepava, Staci Lynn

Ljepava, Staci Lynn is an individual health care provider with primary practice located at 850 N 2Nd St , San Jose CA 95112-6317. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ljepava, Staci Lynn can be contacted via phone (408) 535-6267.

Contact Information

Primary practice address
850 N 2Nd St San Jose CA 95112-6317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 210038810 California

Profile Details

NPI number 1255109260
LBN Legal business name Ljepava, Staci Lynn
Credentials MSW, PPSC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2023
Last updated Dec 19th, 2023 - about last year

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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