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1740945930
STACEY MARIE LEWIS
PAGOSA SPRINGS, CO
NPI
1740945930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
STACEY MARIE LEWIS MD
28OO CORNERSTONE DRIVE
PAGOSA SPRINGS, CO 81147
Phone number: 970-507-5238
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Mailing Address
STACEY MARIE LEWIS MD
PO BOX 3368
PAGOSA SPRINGS, CO 81147-3368
Phone number:
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