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Organization
STACEY RENEE TESAURO INC.
Active
Organization
STACEY RENEE TESAURO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY RENEE TESAURO LCSW (PRESIDENT)
(724) 880-1008
Entity
Organization
Contact information
Practice address
50 WEST MAIN STREET SUITE 704, UNIONTOWN, PA 15401
(724) 439-9698
(724) 439-9701
Mailing address
50 WEST MAIN STREET SUITE 704, UNIONTOWN, PA 15401
(724) 439-9698
(724) 439-9701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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