STACIE LYNN CARR

MOUNT VERNON, IL
NPI1093034415
Former NameSTACIE LYNN TALBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.014120)
Enumeration Date2010-05-25
Last Update Date2015-03-05
Business Address
-- STACIE LYNN CARR LCSW
1304 PLUM AVE
MOUNT VERNON, IL 62864-2532
Phone number: 618-335-7364
Mailing Address
-- STACIE LYNN CARR LCSW
1304 PLUM AVE
MOUNT VERNON, IL 62864-2532
Phone number: 618-335-7364