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1043898083
STACEY MICHELLE PENN
NEW YORK, NY
NPI
1043898083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 107927)
Enumeration Date
2021-03-31
Last Update Date
2024-11-22
Business Address
STACEY MICHELLE PENN LMSW
300 E 34TH ST APT 6A
NEW YORK, NY 10016-4905
Phone number: 631-874-0185
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Mailing Address
STACEY MICHELLE PENN LMSW
98120 QUEENS BLVD STE 1C
REGO PARK, NY 11374-4414
Phone number: 516-220-4530
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