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1063199248
STACEY JOHN
ELMONT, NY
NPI
1063199248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
STACEY JOHN MHC-LP
2039 MURRAY HILL ST
ELMONT, NY 11003-2100
Phone number: 516-712-0308
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Mailing Address
STACEY JOHN MHC-LP
2039 MURRAY HILL ST
ELMONT, NY 11003-2100
Phone number: 516-712-0308
Copy
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