Individual
STACY LYNN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S SWOOPE AVE STE 110, MAITLAND, FL 32751-5784
(407) 622-0444
(407) 699-0444
Mailing address
2186 RIDGE POINTE LN, CLERMONT, FL 34715-0084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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