Darra Lynn Stack, LCSW
NPI #1518536432 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1518536432
- Entity Type
- Individual
- Name
- Darra Lynn Stack, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jun 24, 2021
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 81 NAUTILUS DR
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2448
- Phone
- (732) 966-4166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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