Stavn, Mary J

Stavn, Mary J is an individual health care provider with primary practice located at 2415 University Ave , East Palo Alto CA 94303-1164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stavn, Mary J can be contacted via phone (650) 363-4030.

Contact Information

Primary practice address
2415 University Ave East Palo Alto CA 94303-1164
Phone: (650) 363-4030
Fax: (650) 328-6834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW17637 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 26145 California

Profile Details

NPI number 1639296601
LBN Legal business name Stavn, Mary J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 2nd, 2011 - about 13 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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