Individual
STACY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(772) 489-4726
(772) 489-0423
Mailing address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(772) 489-4726
(772) 489-0423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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