Individual
STACEY LIVERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 LAKERIDGE DR, FREDERICKSBURG, VA 22407-1799
(703) 424-1229
(703) 424-1229
Mailing address
6813 LAKERIDGE DR, FREDERICKSBURG, VA 22407-1799
(703) 424-1229
(703) 424-1229
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735001538
VA
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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