Ederer, Stacey Lynn
Ederer, Stacey Lynn is an sole proprietor health care provider with primary practice located at 6617 E Yorkshire Dr , Saint Louis MO 63123-1521. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ederer, Stacey Lynn can be contacted via phone (314) 402-4677.Contact Information
Primary practice address
6617 E Yorkshire Dr
Saint Louis MO 63123-1521
Phone: (314) 402-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2010028186 | Missouri |
Profile Details
| NPI number | 1225781115 |
|---|---|
| LBN Legal business name | Ederer, Stacey Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2022 |
| Last updated | Jan 31st, 2022 - about 4 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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