Provider Demographics
NPI:1295289361
Name:KARSPECK, STACEY RENEE (BA, B SW)
Entity type:Individual
Prefix:MISS
First Name:STACEY
Middle Name:RENEE
Last Name:KARSPECK
Suffix:
Gender:F
Credentials:BA, B SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 N 3RD ST # 30
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-2510
Mailing Address - Country:US
Mailing Address - Phone:307-761-2480
Mailing Address - Fax:
Practice Address - Street 1:960 N 3RD ST # 30
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2510
Practice Address - Country:US
Practice Address - Phone:307-761-2480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker