| NPI | 1710482666 |
|---|---|
| Doing Business As | STACEY BRUCE LCSW |
| Entity Type | Organization |
| Authorized Contact | STACEY E. BRUCE Lcsw 573-718-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2010001438) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |