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1104130392
CONNIE STACY
CORBIN, KY
NPI
1104130392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY LPCA 1092)
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
-- CONNIE STACY MEd
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- CONNIE STACY MEd
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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