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STACEY VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177-2073
(304) 766-0060
Mailing address
612 KANAWHA TER APT D, SAINT ALBANS, WV 25177-2942
(304) 373-6956

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-978
WV

Other

Enumeration date
08/11/2022
Last updated
03/20/2025
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