STACY PRINCE PARK

OAK RIDGE, TN
NPI1326115916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TN  1219)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- STACY PRINCE PARK LCSW
240 W TYRONE RD
OAK RIDGE, TN 37830-6517
Phone number: 865-482-1076
Mailing Address
-- STACY PRINCE PARK LCSW
240 W TYRONE RD
OAK RIDGE, TN 37830-6517
Phone number: 865-482-1076
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