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1194108019
STACY LYNN MAYNE
CORBIN, KY
NPI
1194108019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2015-07-09
Last Update Date
2015-07-09
Business Address
-- STACY LYNN MAYNE MSW
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- STACY LYNN MAYNE MSW
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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