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Stacey Small, LMBT

NPI 1134004351 · on the registry since 2025

Practice

Address
4523 Park Rd # A102
Charlotte, NC 28209
Phone
(704) 919-0411

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina