Individual
STACEY PFOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4 PHEASANT WALK, QUEENSBURY, NY 12804-9019
(518) 232-1542
Mailing address
4 PHEASANT WALK, QUEENSBURY, NY 12804-9019
(518) 232-1542
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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