STACY VANCE

CENTRALIA, IL
NPI1144888710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-05-30
Last Update Date2019-05-30
Business Address
STACY VANCE
904 E MLK DRIVE
CENTRALIA, IL 62801
Phone number: 618-533-1391
Mailing Address
STACY VANCE
904 E MLK DRIVE
CENTRALIA, IL 62801
Phone number: 618-533-1391
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