Individual
MAKAELEIGH L STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
313 HUDGINS ST, LOGAN, WV 25601
(304) 752-7830
Mailing address
313 HUDGINS ST, LOGAN, WV 25601-3535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00947230
WV
171M00000X
Case Manager/Care Coordinator
Primary
AP00947230
WV
Other
Enumeration date
07/15/2025
Last updated
05/01/2026
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