Stacy Leo, LISW-CP

NPI #1396329298 in Ridgeland, South Carolina

Provider Information

NPI Number: 1396329298
Entity Type: Individual
Name: Stacy Leo, LISW-CP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW-CP
Enumeration Date: May 7, 2021
Last Updated: May 7, 2021

Practice Location

Address: 77 HAZZARD CREEK VLG
City: Ridgeland
State: South Carolina
ZIP Code: 29936-8266
Phone: (843) 645-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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