Doctor Name: | STEPHEN A CAGLE |
NPI Number: | 1063477255 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSCSW |
License Number: | 0687 |
Business Practice Address: | 120 W Ross Blvd Dodge City, KS - 678012131 |
Business Phone Number: | 6202251650 |
Business Fax Number: | 6202272505 |
Mailing Address: | 120 W Ross Blvd, DODGE CITY |
State: | KS |
Postal Code: | 678012131 |
Phone Number: | 6202251650 |
Fax Number: | 6202272505 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |