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1467810192
STACIE MCMILLION
SHADY SPRING, WV
NPI
1467810192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2051)
Enumeration Date
2016-02-09
Last Update Date
2022-04-13
Business Address
STACIE MCMILLION
404 GLADE ST
SHADY SPRING, WV 25918-9530
Phone number: 304-228-1525
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Mailing Address
STACIE MCMILLION
304 DELRAY DR
SAINT ALBANS, WV 25177-3503
Phone number: 304-228-1525
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