Wilson, Stacy

Wilson, Stacy is an individual health care provider with primary practice located at 52 Woodstream Dr , Grand Island NY 14072. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Stacy can be contacted via phone (716) 220-8834.

Contact Information

Primary practice address
52 Woodstream Dr Grand Island NY 14072
Phone: (716) 220-8834
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1326507815
LBN Legal business name Wilson, Stacy
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2019
Last updated Jun 17th, 2019 - 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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