Individual
STACY LYNN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RAIDER WAY, SPENCER, WV 25276-9236
(304) 927-6405
Mailing address
PO BOX 68, SPENCER, WV 25276-0068
(304) 951-0767
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
T5Y109700331
WV
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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