Provider Information for 1275741308
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Ms. STACEE D CANTRELL LCPC
Other Names:Other Name:STACEE D CURRYSex: Female
NPI: 1275741308
Last Updated: 2024-02-21
Certification Date: 2024-02-21
Certification Date: 2024-02-21
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275741308 | ||||||||||||||||
| Enumeration Date | 2007-05-21 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 54 3RD ST PRESQUE ISLE, ME 04769-2649 United States Phone: 970-275-5075 | Fax: | ||||||||||||||||
| Primary Practice Address | 54 3RD ST PRESQUE ISLE, ME 04769-2649 United States Phone: 970-275-5075 | Fax: | ||||||||||||||||
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