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1720204621
STACY JOY LIGHT
SAINT LOUIS, MO
NPI
1720204621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2003026702)
Enumeration Date
2007-04-18
Last Update Date
2007-07-08
Business Address
Miss STACY JOY LIGHT LPC., NBCC
621 S NEW BALLAS RD STE 268A
SAINT LOUIS, MO 63141-8232
Phone number: 314-872-7792
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Mailing Address
Miss STACY JOY LIGHT LPC., NBCC
11519 CRAIG CT APT. 511
SAINT LOUIS, MO 63146-5283
Phone number: 314-504-3253
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