Stacy Pettiford
Case Manager/Care Coordinator in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1730438300
StatusActive
Last updated in NPPESAug 29, 2012
Details
- NPI
- 1730438300
- Entity type
- Individual (NPI-1)
- Name
- Stacy Pettiford
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2012
- Last updated
- Aug 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
4500 W Midway RdFort Pierce, FL 34981-4823
Phone 772-672-8600 · Fax 772-468-5633
Mailing address
4500 W Midway RdFort Pierce, FL 34981-4823
Phone 772-672-8600 · Fax 772-468-5633
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All 103 Case Manager/Care Coordinator providers in Fort Pierce · All 2,414 providers in Fort Pierce
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