Individual
MISS STACEY LYNN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 W GELDING CIR, SURPRISE, AZ 85379-6401
(602) 468-2077
Mailing address
13123 W GELDING CIR, SURPRISE, AZ 85379-6401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21531
AZ
Other
Enumeration date
09/02/2021
Last updated
05/22/2025
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