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1104149178
AMANDA E STACEY
FALMOUTH, MA
NPI
1104149178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-03-05
Last Update Date
2010-03-05
Business Address
-- AMANDA E STACEY
200 TER HEUN DR
FALMOUTH, MA 02540-2525
Phone number: 508-540-6550
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Mailing Address
-- AMANDA E STACEY
200 TER HEUN DR
FALMOUTH, MA 02540-2525
Phone number: 508-540-6550
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