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MRS. EMMA STACY COSBY LCSW, PIP
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1760713119
Individual Registrant:MRS. EMMA STACY COSBY LCSW, PIP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
614 W BYPASS ANDALUSIA, AL 36420-4731 US
Tel: 334-222-3555 Fax: --
Tel: 334-222-3555 Fax: --
Contact information for business:
614 W BYPASS ANDALUSIA, AL 36420 US
Tel: 334-222-3555 Fax: 334-427-9522
Tel: 334-222-3555 Fax: 334-427-9522
Registration Information:
NPI: 1760713119
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | AL | 3184C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CMS | 1679807291 | AL | 01 |
