Gooden, Stacy Marie
Gooden, Stacy Marie is an individual health care provider with primary practice located at 218 D St , South Charleston WV 25303-3104. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gooden, Stacy Marie can be contacted via phone (304) 720-3835.Contact Information
Primary practice address
218 D St
South Charleston WV 25303-3104
Phone: (304) 720-3835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2189 | West Virginia |
Profile Details
| NPI number | 1821211939 |
|---|---|
| LBN Legal business name | Gooden, Stacy Marie |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Dec 28th, 2015 - about 11 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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