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STACEY GILBREATH

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1669908075

Individual Registrant:
 STACEY  GILBREATH 
Gender: F
Sole Proprietor

Location and contact information for practice:
1116 BICENTENNIAL TRL  ROCK SPRING, GA 30739-2314 US
Tel: 423-991-0034  Fax: --

Contact information for business:
1116 BICENTENNIAL TRL  ROCK SPRING, GA 30739-2314 US
Tel: --  Fax: --

Registration Information:
NPI: 1669908075
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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