STACEY J HAYNES

RADCLIFF, KY
NPI1356401632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: KY  5109)
Enumeration Date2006-12-09
Last Update Date2007-07-08
Business Address
-- STACEY J HAYNES CSW
1072 S DIXIE BLVD
RADCLIFF, KY 40160-1103
Phone number: 270-351-8166
Mailing Address
-- STACEY J HAYNES CSW
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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