Buonaura, Stacie E

Buonaura, Stacie E is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Buonaura, Stacie E can be contacted via phone (573) 686-4151.

Contact Information

Primary practice address
1500 N Westwood Blvd Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax: (573) 778-4156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2006006713 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2006006713 Missouri

Profile Details

NPI number 1477506020
LBN Legal business name Buonaura, Stacie E
Credentials MSW, LCSW, CRAADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477506020 NPPES
Other HEALTHLINK FREEDOM 552122
Other 2794 552122
Other 11627576 552122
Other 431823864 552122
Other 552122 552122
MEDICAID 490255502 552122
Other 552122 552122
Other 552122 552122
Other 431116734 552122
Other 431116734 552122

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