Individual
MRS. STACY M WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2700 W INDIANA ST, EVANSVILLE, IN 47712-5637
(812) 428-0698
(812) 429-9655
Mailing address
4645 KUEBLER RD, EVANSVILLE, IN 47720-7648
(812) 319-9174
(812) 429-9655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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