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1144597816
STACEY MIGLICCO SULLIVAN
THE WOODLANDS, TX
NPI
1144597816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 731774)
Enumeration Date
2011-11-24
Last Update Date
2023-02-27
Business Address
Ms. STACEY MIGLICCO SULLIVAN PMHNP-BC
1400 WOODLOCH FOREST DR STE 575
THE WOODLANDS, TX 77380-1179
Phone number: 281-528-1523
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Mailing Address
Ms. STACEY MIGLICCO SULLIVAN PMHNP-BC
8926 FOREST CREEK DR APT 174
TOMBALL, TX 77375-5161
Phone number: 817-368-5334
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