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1699400952
STACEY LEANN PHILLIPS
MCMECHEN, WV
NPI
1699400952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
Miss STACEY LEANN PHILLIPS
19 16TH ST
MCMECHEN, WV 26040-1321
Phone number: 304-517-6481
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Mailing Address
Miss STACEY LEANN PHILLIPS
19 16TH ST
MCMECHEN, WV 26040-1321
Phone number: 304-517-6481
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