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1902152788
STACEY LEE
PENNSAUKEN, NJ
NPI
1902152788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44LS05170800)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- STACEY LEE LSW
2475 MCCLELLAN AVE BLDG C
PENNSAUKEN, NJ 08109-4683
Phone number: 856-524-6773
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Mailing Address
-- STACEY LEE LSW
2475 MCCLELLAN AVE BLDG C
PENNSAUKEN, NJ 08109-4683
Phone number: 856-524-6773
Copy
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