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Individual

STACY LYNN GURGANUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW,LCSW

Contact information

Practice address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3726
Mailing address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3726

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1581C
AL

Other

Enumeration date
07/17/2023
Last updated
04/23/2026
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