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1053629733
VERA STACY
HAZARD, KY
NPI
1053629733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 0906)
Enumeration Date
2010-09-16
Last Update Date
2010-11-19
Business Address
-- VERA STACY
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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Mailing Address
-- VERA STACY
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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