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NPI Code Detail

MEDICARE: STACY M DEPREY MSW

MEDICARE: STACY M DEPREY MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1538450119
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY M DEPREY MSW
Provider Business Mailing Address
First Line : 44 SHERMAN ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-3517
Country : US
Telephone Number : 413-739-5626
Fax Number :
Provider Business Practice Location Address
First Line : 44 SHERMAN ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-3517
Country : US
Telephone Number : 413-739-5626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2011
Last Update Date : 04/29/2011

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Directions to “ STACY M DEPREY MSW” Practice Location

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