Individual
STACY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STACY
Contact information
Practice address
1216 FLAGSTONE TERRACE, LAKE ST. LOUIS, MO 63367
(636) 485-1123
Mailing address
PO BOX 271, COTTLEVILLE, MO 63338-0271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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