Stacy, Mary D
Stacy, Mary D is an individual health care provider with primary practice located at 2434 S Eason Blvd , Tupelo MS 38804-6942. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stacy, Mary D can be contacted via phone (662) 504-4382.Contact Information
Primary practice address
2434 S Eason Blvd
Tupelo MS 38804-6942
Phone: (662) 504-4382
Fax: (662) 680-6416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M5502 | Mississippi |
Profile Details
| NPI number | 1215129481 |
|---|---|
| LBN Legal business name | Stacy, Mary D |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | May 22nd, 2020 - about 5 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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