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1912930462
STACEY MICHELLE DE YOUNG
SIMPSONVILLE, SC
NPI
1912930462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 3068)
Enumeration Date
2006-07-08
Last Update Date
2007-07-08
Business Address
-- STACEY MICHELLE DE YOUNG
207 HUDDERSFIELD DR
SIMPSONVILLE, SC 29681-3703
Phone number: 864-987-0365
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Mailing Address
-- STACEY MICHELLE DE YOUNG
PO BOX 369
SIMPSONVILLE, SC 29681-0369
Phone number: 864-201-4301
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