Individual
STACEY STUMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2630 GLADWYN AVE, PENNSAUKEN, NJ 08109-3667
(856) 457-2210
Mailing address
2630 GLADWYN AVE, PENNSAUKEN, NJ 08109-3667
(856) 457-2210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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