Provider Information for 1538835335
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STACEY MAY LCSW
Other Names:Former Name:STACEY MCKIBBINSex: Female
NPI: 1538835335
Last Updated: 2025-03-06
Certification Date: 2025-03-06
Certification Date: 2025-03-06
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538835335 | ||||||||
| Enumeration Date | 2021-08-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1575 DR MARTIN LUTHER KING JR ST INDIANAPOLIS, IN 46202-2295 United States Phone: 317-644-7243 | Fax: | ||||||||
| Primary Practice Address | 10 S 9TH ST STE 8 NOBLESVILLE, IN 46060-2631 United States Phone: 317-207-9694 | Fax: | ||||||||
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