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Individual

STACY STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2320 LONG ST, FLATWOODS, KY 41139-2146
(606) 833-5611
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1062076
KY

Other

Enumeration date
11/11/2014
Last updated
11/11/2014
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