William Forrest Stacy, LMSW

NPI #1316266182 in Ithaca, New York

Provider Information

NPI Number: 1316266182
Entity Type: Individual
Name: William Forrest Stacy, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 19, 2010
Last Updated: May 19, 2010

Practice Location

Address: 3226 WILKINS RD
City: Ithaca
State: New York
ZIP Code: 14850-9568
Phone: (607) 272-5891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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