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NPI Code Detail

MEDICARE: AMY STOPPELMAN LCSW

MEDICARE:   AMY  STOPPELMAN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2005000805MO

General Provider Information

NPI Number : 1831169325
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY STOPPELMAN LCSW
Provider Business Mailing Address
First Line : 6306 OLEATHA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2005
Country : US
Telephone Number : 314-435-6848
Fax Number :
Provider Business Practice Location Address
First Line : 6306 OLEATHA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2005
Country : US
Telephone Number : 314-435-6848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 10/02/2018

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Directions to “ AMY STOPPELMAN LCSW” Practice Location

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