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Individual
MS. STACY L. DUBOIS
Active
Individual
MS. STACY L. DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005573L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1398618
HIGHMARK
PA
01
—
670001673
RR MEDICARE
PA
Enumeration date
09/12/2005
Last updated
02/26/2020
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