Individual
STACEY LEE LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
1034 N CREEK RD, PORTER CORNERS, NY 12859-1906
(518) 796-1027
Mailing address
1034 N CREEK RD, PORTER CORNERS, NY 12859-1906
(518) 796-1027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2014
Last updated
09/23/2014
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