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Individual
STACEY STAFFORD
Active
Individual
STACEY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0017848
CO
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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