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1154925808
STACY SANDERS
LEBANON, TN
NPI
1154925808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-23
Last Update Date
2020-11-24
Business Address
STACY SANDERS cap student
1633 W. MAIN ST
LEBANON, TN 37087
Phone number: 850-331-8681
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Mailing Address
STACY SANDERS cap student
4908 BELL RIDGE LANE APRTMENT 104
MILTON, FL 32571
Phone number: 850-713-4609
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