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Provider Information for 1487940219


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STEPHANIE ANN EHRLICH SEITZ LCSW


Sex: Female

NPI: 1487940219
Last Updated: 2021-03-16
Certification Date: 2021-03-16

Details

NameValue
NPI1487940219
Enumeration Date2011-06-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 10900 WORLD TRADE BLVD
RALEIGH, NC 27617-4202
United States

Phone: 919-237-1337 | Fax:866-538-4716
 
Primary Practice Address 232 HIGH HOUSE RD
CARY, NC 27513-4203
United States

Phone: 919-650-3325 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNCC007107