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1609359116
STACY JOHNSON
SPRINGFIELD, MO
NPI
1609359116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2013001564)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
STACY JOHNSON
134 WEST PARK CENTRAL SQ
SPRINGFIELD, MO 65806
Phone number: 844-536-8266
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Mailing Address
STACY JOHNSON
134 WEST PARK CENTRAL SQ
SPRINGFIELD, MO 65806
Phone number: 844-536-8266
Copy
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