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1275080061
STACEY FOX
MELBOURNE, FL
NPI
1275080061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-08
Last Update Date
2017-03-31
Business Address
-- STACEY FOX
2555 WILD WOOD DR
MELBOURNE, FL 32935-7129
Phone number: 321-339-4105
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Mailing Address
-- STACEY FOX
2555 WILD WOOD DR
MELBOURNE, FL 32935-7129
Phone number: 321-339-4105
Copy
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