Doctor Name: | MS. EILLEEN MARIE STCLAIR |
NPI Number: | 1427032309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 1906 |
Business Practice Address: | 243 Curtiss Rd Suite 10 Barksdale Afb, LA - 711102425 |
Business Phone Number: | 3184566595 |
Business Fax Number: | 3184566830 |
Mailing Address: | 4855 Airline Dr, Apt. 38-d BOSSIER CITY |
State: | LA |
Postal Code: | 711116600 |
Phone Number: | 6303192737 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |