Doctor Name: | STEPHANIE E BARNES |
NPI Number: | 1003092651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 17371 |
Business Practice Address: | 308 12th Ave S Buffalo, MN - 553132321 |
Business Phone Number: | 7636824400 |
Business Fax Number: | 7636821353 |
Mailing Address: | 1321 13th St N, SAINT CLOUD |
State: | MN |
Postal Code: | 563032613 |
Phone Number: | 3202525010 |
Fax Number: | 3202031855 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 17371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |