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1225595515
STACEY ZIMMERMAN
EGLIN AFB, FL
NPI
1225595515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 256077)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2019-02-22
Last Update Date
2024-05-21
Business Address
STACEY ZIMMERMAN LCSW
340 BOATNER RD
EGLIN AFB, FL 32542-1391
Phone number: 850-883-8600
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Mailing Address
STACEY ZIMMERMAN LCSW
340 BOATNER RD
EGLIN AFB, FL 32542-1391
Phone number:
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