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Individual
KAY-LEIGH STACY
Active
Individual
KAY-LEIGH STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72088751
NY
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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