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1336547546
STACY JO POFFENBARGER
WEST PALM BEACH, FL
NPI
1336547546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 6063)
Enumeration Date
2014-12-22
Last Update Date
2014-12-22
Business Address
-- STACY JO POFFENBARGER CAP
726 SELKIRK ST
WEST PALM BEACH, FL 33405-3136
Phone number: 561-398-7294
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Mailing Address
-- STACY JO POFFENBARGER CAP
726 SELKIRK STREET
WEST PALM BEACH, FL 33405
Phone number: 561-398-7294
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