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MRS. EMMA STACY COSBY LCSW, PIP

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760713119

Individual Registrant:
MRS. EMMA STACY COSBY LCSW, PIP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
614 W BYPASS  ANDALUSIA, AL 36420-4731 US
Tel: 334-222-3555  Fax: --

Contact information for business:
614 W BYPASS  ANDALUSIA, AL 36420 US
Tel: 334-222-3555  Fax: 334-427-9522

Registration Information:
NPI: 1760713119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AL3184C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CMS1679807291AL01




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