CONNIE STACY

CORBIN, KY
NPI1104130392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  LPCA 1092)
Enumeration Date2010-07-30
Last Update Date2010-07-30
Business Address
-- CONNIE STACY MEd
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- CONNIE STACY MEd
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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