Myra D Staples, LCSW

NPI #1033313341 in South Holland, Illinois

Provider Information

NPI Number: 1033313341
Entity Type: Individual
Name: Myra D Staples, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 430 EAST 167TH STREET
City: South Holland
State: Illinois
ZIP Code: 60473
Phone: (708) 385-4258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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