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1912160847
STACY LAKE
SYLVA, NC
NPI
1912160847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-07-10
Last Update Date
2016-03-17
Business Address
-- STACY LAKE
154 MEDICAL PARK LOOP
SYLVA, NC 28779-5271
Phone number: 828-631-3973
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Mailing Address
-- STACY LAKE
PO BOX 2187
SYLVA, NC 28779-2187
Phone number: 828-631-3973
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