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1528785607
STACIE MOULTRIE
COLUMBIA, SC
NPI
1528785607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
STACIE MOULTRIE
1850 PINEVIEW DR
COLUMBIA, SC 29209-5085
Phone number: 803-783-0303
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Mailing Address
STACIE MOULTRIE
PO BOX 4261
COLUMBIA, SC 29240-4261
Phone number: 803-477-4731
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