Individual
CHERYL LYNN STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW. MSW, MPH
Contact information
Practice address
4821 US HIGHWAY 98 W STE 104, SANTA ROSA BEACH, FL 32459-8575
(901) 290-6368
Mailing address
60 MAGNOLIA DR, FREEPORT, FL 32439-3655
(859) 419-7696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW15212
FL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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