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1770357055
STACI SHUPP
LANCASTER, PA
NPI
1770357055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA BH006666)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
STACI SHUPP
20B E ROSEVILLE RD
LANCASTER, PA 17601-3868
Phone number: 717-600-0900
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Mailing Address
STACI SHUPP
2555 CAPE HORN RD
RED LION, PA 17356-9057
Phone number: 717-600-0900
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