License holder summary

Long, Stacy MIchelle is a Occupational Therapy Assistant licensed to practice in Missouri. The address on file for Long, Stacy MIchelle is 12624 Lawrence 2155 , Mount Vernon 65712. This licensed professional license is current. The license was granted 08/20/2012 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Long, Stacy MIchelle
Occupational Therapy Assistant
License number
2012018214  
Date granted
08/20/2012
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Clear
Address
12624 Lawrence 2155 
licensingmissouri.org
ID 5147975
LAST UPDATED 2026-03-23 06:20:09 UTC

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