| NPI | 1891224291 |
|---|---|
| Former Name | STACY GAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20308) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-08-17 |