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STACEY HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556
Mailing address
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/25/2007
Last updated
10/25/2007
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