| NPI | 1609099506 |
|---|---|
| Other Name | STACY A LACORCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2247) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0988) |
| 225800000X Recreation Therapist (Licence: NH 39488) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-08-05 |