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Stacie Dizzley-Streeter

NPI 1194274761 · on the registry since 2016 · sole proprietor

Practice

Address
194 Cypress Forest Dr
Moncks Corner, SC 29461
Phone
(803) 459-8022
Fax
(615) 577-5654
Organisation at this address
Sds Behavioral Consulting Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 170 Meeting St, Charleston, SC
  • 1018 N Bragg Blvd, Spring Lake, NC

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-25

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 South Carolina