Stacie J Speed, LCSW

NPI #1952594723 in Cairo, New York

Provider Information

NPI Number: 1952594723
Entity Type: Individual
Name: Stacie J Speed, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 24, 2007
Last Updated: Aug 24, 2007

Practice Location

Address: 905 GREENE CO OFFICE BLDG
Address 2: GREENE CO MENTAL HEALTH
City: Cairo
State: New York
ZIP Code: 12413
Phone: (518) 622-9163

Specialties & Taxonomy Codes

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

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