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Wallace Stacy, LCSW
NPI 1588190862 · on the registry since 2017 · sole proprietor
Practice
- Address
- 21 Richdale Dr Apt A
Wilton, CT 06897 - Phone
- (914) 309-6442
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-05
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 Connecticut