Individual
STACIE SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HIDDEN CANYON PARKWAY, BAKER, NV 89311
(775) 234-7267
Mailing address
PO BOX 166, BAKER, NV 89311-0166
(775) 234-7267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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