Individual
MS. STACY LYNN SHOUP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
4755 OGLETOWN-STANTON ROAD, RM 1988, NEWARK, DE 19718-0001
(302) 733-3072
(302) 733-3074
Mailing address
104 YARDLEY PL, HOCKESSIN, DE 19707-8917
(302) 235-2472
(302) 733-3074
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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