Stapleton, Miranda Jill

Stapleton, Miranda Jill is an individual health care provider with primary practice located at 116 Pierce Ave , Macon GA 31204-2891. 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. Stapleton, Miranda Jill can be contacted via phone (478) 464-3010.

Contact Information

Primary practice address
116 Pierce Ave Macon GA 31204-2891
Phone: (478) 464-3010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW002687 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004757 Georgia

Profile Details

NPI number 1811154255
LBN Legal business name Stapleton, Miranda Jill
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Mar 18th, 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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