Individual
STACI CARMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 475-4409
Mailing address
900 BEASLEY ST, SUITE120, LEXINGTON, KY 40509-4266
(913) 322-2400
(913) 621-5730
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KY
Other
Enumeration date
09/24/2014
Last updated
07/21/2022
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