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1235235151
STACEY SUDIE EZEKWE
APO, AE
NPI
1235235151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 1787)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
Ms. STACEY SUDIE EZEKWE LSCSW
SHAPE HEALTHCARE FACILITY UNIT 21414 BOX 116
APO, AE 09705
Phone number: 011326-544-5801
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Mailing Address
Ms. STACEY SUDIE EZEKWE LSCSW
SHAPE HEALTHCARE FACILITY UNIT 21414 BOX 116
APO, AE 09705
Phone number: 011326-544-5801
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