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NPI Code Detail

MEDICARE: MRS. STEPHANIE LYNCH REH LCSW

MEDICARE: MRS. STEPHANIE LYNCH REH 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 Worker2011023811MO

General Provider Information

NPI Number : 1013242494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE LYNCH REH LCSW
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 102 COMPASS POINT DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4404
Country : US
Telephone Number : 888-403-1071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 07/08/2020

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