Individual
MS. STACEY KOSZUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C
Contact information
Practice address
360 CENTRAL AVE, SUITE 1230, ST PETERSBURG, FL 33701-3857
(800) 975-4819
(800) 930-0691
Mailing address
360 CENTRAL AVE, ST PETERSBURG, FL 33701-3857
(800) 975-4819
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000048
IL
Other
Enumeration date
03/04/2008
Last updated
01/18/2011
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