Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Marriage & Family Therapist |
106H00000X |
| NPI # | 1326798703 |
| LBN Legal business name | KIDSTUFF CHILD AND FAMILY COUNSELING, P.C. |
| Authorized official | CHRISTINE EVANS - (DIRECTOR OF OPERATIONS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/28/2022 |
| Last updated | 12/19/2023 - About 2 years ago |
| Identifiers | n/a |
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