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1396329298
STACY LEO
RIDGELAND, SC
NPI
1396329298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: SC 11801)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
STACY LEO LISW-CP
77 HAZZARD CREEK VLG
RIDGELAND, SC 29936-8266
Phone number: 843-645-7700
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Mailing Address
STACY LEO LISW-CP
77 HAZZARD CREEK VLG
RIDGELAND, SC 29936-8266
Phone number: 443-235-6161
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