Individual
MS. STACY L MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 N MAYSVILLE ST, SUITE 200, MT STERLING, KY 40353-1179
(859) 404-7686
(859) 498-8160
Mailing address
209 N MAYSVILLE ST, SUITE 200, MT STERLING, KY 40353-1179
(859) 404-7686
(859) 498-8160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1055
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100265570
—
KY
Enumeration date
02/14/2007
Last updated
06/09/2016
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