CLINT JAY STACY

BECKLEY, WV
NPI1326912205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: WV  24-9156)
Enumeration Date2025-10-02
Last Update Date2025-10-02
Business Address
CLINT JAY STACY PRSS-SUD
550 N EISENHOWER DR
BECKLEY, WV 25801-3109
Phone number: 681-323-8335
Mailing Address
CLINT JAY STACY PRSS-SUD
PO BOX 464
PANTHER, WV 24872-0464
Phone number: 681-323-8335
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