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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY J STAVN

Active

MARY J STAVN is a Clinical Social Worker healthcare provider located in EAST PALO ALTO, California. NPI 1639296601 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · EAST PALO ALTO, CA

Registration Details

NPI Number
1639296601
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2007 (19.36696105045 yrs)
Last Updated
Dec 2, 2011
Licenses
ASW17637 (CA)
LCS 26145 (CA)

Practice Information

Address
2415 UNIVERSITY AVE
EAST PALO ALTO, CA, 943031164
Browse CA providers · Browse ZIP 94303
Phone
6503634030
Fax
6503286834
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in EAST PALO ALTO, CA

Name Credential NPI
MRS. VANESSA ALEXANDRA SCARLATA LCSW 1750413118
MS. GINA PATRICIA MEZZERA LCSW 1588780027
MRS. LETICIA S PADILLA 1669774311
ALVIN TAN 1588079123
MRS. RENEE REYES 1609252014
BRITTNEY TABEL 1164934642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.