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1174679062
STACEY SMOOT OWEN
MACON, GA
NPI
1174679062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: GA PSY003006)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
DR. STACEY SMOOT OWEN PH.D.
5398 THOMASTON RD SUITE B
MACON, GA 31220-8110
Phone number: 478-476-8868
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Mailing Address
DR. STACEY SMOOT OWEN PH.D.
5398 THOMASTON RD SUITE B
MACON, GA 31220-8110
Phone number: 478-476-8868
Copy
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