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1114132248
STACY L LEE
DECATUR, IL
NPI
1114132248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- STACY L LEE
132 S WATER ST SUITE 604
DECATUR, IL 62523-1332
Phone number: 217-423-6199
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Mailing Address
-- STACY L LEE
132 S WATER ST SUITE 604
DECATUR, IL 62523-1332
Phone number: 217-423-6199
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