Individual
STACIE ELIZABETH CENTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 MEETING CREEK RD, EASTVIEW, KY 42732-9751
(270) 505-9942
Mailing address
3212 MEETING CREEK RD, EASTVIEW, KY 42732-9751
(270) 505-9942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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