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Individual
STACEY L MOONEY
Active
Individual
STACEY L MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP. ED. TEACHER
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
490363
NY
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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