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Contact Information

STACIE E BUONAURA, MSW, LCSW, CRAADC
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO63901-3318
 Phone: 573-686-4151
 Fax: 573-778-4156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for STACIE E BUONAURA · (Female)

NPI Number 1477506020
Status Active
Credentials MSW, LCSW, CRAADC
Entity Individual
Enumeration date 05/17/2006
Last updated 04/18/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2006006713
  • MO Medicaid 490255502
  • Other HEALTHLINK FREEDOM 552122
  • Other 11627576 CAQH
  • Other 431823864 CORPHEALTH
  • Other 431116734 EAP CERIDIAN
  • Other 2794 EAP IMPACT
  • Other 431116734 EAP INTERFACE
  • Other 552122 EPOCH
  • Other 552122 FORTIS/HEALTHLINK
  • Other 552122 HELATHLINK PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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