CHRISTINE F STACEY

SOUTH BEND, IN
NPI1558359489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   34004960A)
Enumeration Date2005-10-13
Last Update Date2008-04-18
Business Address
-- CHRISTINE F STACEY LCSW
2106 IRONWOOD CIR
SOUTH BEND, IN 46635-1864
Phone number: 574-243-9370
Mailing Address
-- CHRISTINE F STACEY LCSW
2106 IRONWOOD CIR
SOUTH BEND, IN 46635-1864
Phone number: 574-243-9370