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1043424187
STACY LYNN SHORTER
HAMPTON, VA
NPI
1043424187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904006418)
Enumeration Date
2007-05-09
Last Update Date
2007-07-30
Business Address
-- STACY LYNN SHORTER LCSW
100 EMANCIPATION DR
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
-- STACY LYNN SHORTER LCSW
1545 ADAMS CIR
HAMPTON, VA 23663-2003
Phone number: 757-725-0148
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