Connolly, Staci June
Connolly, Staci June is an sole proprietor health care provider with primary practice located at 639 Swedesford Rd , Malvern PA 19355-1530. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connolly, Staci June can be contacted via phone (610) 529-1579.Contact Information
Primary practice address
639 Swedesford Rd
Malvern PA 19355-1530
Phone: (610) 529-1579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014460 | Pennsylvania |
Profile Details
| NPI number | 1649319815 |
|---|---|
| LBN Legal business name | Connolly, Staci June |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Feb 24th, 2020 - about 5 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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