# STACY JUNE WAYLAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225807258
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.0135588 | VT | Yes |
| 1041C0700X | Clinical Social Worker | 3184 | NH | — |

## Other

- **Enumeration date:** 01/02/2024
- **Last updated:** 07/28/2025