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1104225762
BARBARA STACY
CONWAY, SC
NPI
1104225762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- BARBARA STACY
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
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Mailing Address
-- BARBARA STACY
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-4888
Copy
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