STACY LAKE

SYLVA, NC
NPI1912160847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-07-10
Last Update Date2016-03-17
Business Address
-- STACY LAKE
154 MEDICAL PARK LOOP
SYLVA, NC 28779-5271
Phone number: 828-631-3973
Mailing Address
-- STACY LAKE
PO BOX 2187
SYLVA, NC 28779-2187
Phone number: 828-631-3973