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Individual
STACEY LESTER
Active
Individual
STACEY LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008913
VA
1041C0700X
Clinical Social Worker
SW18445
FL
363A00000X
Physician Assistant
18445
FL
363LF0000X
Family Nurse Practitioner
18445
FL
Other
Enumeration date
08/22/2016
Last updated
10/27/2023
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