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Contact Information

STACY GLENN, MSW, LCSW
8350 HWY 30
DITTMER, MO63023
 Phone: 636-944-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STACY GLENN · (Female)

NPI Number 1689270092
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 12/10/2020
Last updated 12/10/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2002017038
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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