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Ms. Stacy Marie Leichentritt, LMT
Specialist in Clyde, North Carolina
NPI 1881936383

Stacy Marie Leichentritt is a Specialist based in Clyde, NC. Stacy Marie Leichentritt practices in Clyde, NC and has the professional credentials of LMT. The NPI Number for Stacy Marie Leichentritt is 1881936383 and holds a License No. MT0012498 (North Carolina).

The current practice location address for Stacy Marie Leichentritt is 42 Wild Cherry Dr, Clyde, NC and can be reached out via phone at 719-500-9772.

Location: 42 Wild Cherry Dr, Clyde, NC, 28721-7531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881936383
Provider Name
Stacy Marie Leichentritt
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
42 Wild Cherry Dr, Clyde, NC, 28721-7531
Phone Number
719-500-9772
Fax Number
Provider Enumeration Date
03/22/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 Wild Cherry Dr
City
Clyde
State
North Carolina
Zip
28721-7531
Phone Number
719-500-9772
Fax Number
person
Provider Business Mailing Address Details
Address
42 Wild Cherry Dr
City
Clyde
State
North Carolina
Zip
28721-7531
Phone Number
719-500-9772
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MT0012498 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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