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Mary Anna Stacie
Professional Counselor in Enfield, Connecticut
NPI 1114199387

Mary Anna Stacie is a Professional Counselor based in Enfield, CT and is specialized in Professional. Mary Anna Stacie practices in Enfield, CT. The NPI Number for Mary Anna Stacie is 1114199387 and holds a License No. 001652 (Connecticut).

The current practice location address for Mary Anna Stacie is 151 Hazard Ave, Enfield, CT and can be reached out via phone at 860-763-8044 and via fax at 860-272-2990.

Location: 151 Hazard Ave, Enfield, CT, 06082-4584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114199387
Provider Name
Mary Anna Stacie
Credential
Provider Entity Type
Individual
Gender
Female
Address
151 Hazard Ave, Enfield, CT, 06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CT
institution
Provider Business Practice Location Address Details
Address
151 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
person
Provider Business Mailing Address Details
Address
151 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4584
Phone Number
860-763-8044
Fax Number
860-272-2990
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
001652 (Connecticut)
Definition
Definition to come...
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