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Individual

STACY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 S DUNCAN DR, TAVARES, FL 32778-4206
(352) 343-0752
Mailing address
6828 SUNNYSIDE DR, LEESBURG, FL 34748-9501
(352) 617-0429

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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