Wendy Marie Stacey CAC

NPI 1417295908 - Counselor - 101YA0400X

NPI Details
NPI 1417295908
Gender Female
Enumeration Date 01/18/2013
Last Updated 01/18/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
187 W BROAD ST
SPARTANBURG SC, 29306-3234, US
Phone (864) 582-7588
Fax (864) 582-0431
Business Location
187 W BROAD ST
SPARTANBURG SC, 29306-3234, US
Phone (864) 582-7588
Fax (864) 582-0431
Toxanomy
Taxonomy Code 101YA0400X
License State South Carolina
License Number 1107283
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According to our database, Wendy Marie Stacey CAC NPI is 1417295908, taxonomy code is 101YA0400X and license number is 1107283, license state is located at South Carolina. Wendy Marie Stacey CAC physically located at 187 W Broad St, Spartanburg SC, 29306-3234. NPI Number Wendy Marie Stacey CAC has the Individual type.

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1417295908 NPI number is provided on an as is basis without warranty of any kind. 1417295908 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Marie Stacey CAC are for informational purposes only.