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Individual
STACEY CHESTNUT-WATSON
Active
Individual
STACEY CHESTNUT-WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013008441
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437694841
—
MO
Enumeration date
04/22/2013
Last updated
08/29/2018
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