Individual
DR. STACEY RACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY, D.
Contact information
Practice address
41347 RASPBERRY DRIVE, LEESBURG, VA 20176
(703) 975-9794
(703) 737-3922
Mailing address
41347 RASPBERRY DRIVE, LEESBURG, VA 20176
(703) 975-9794
(703) 737-3922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004121
VA
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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