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1013475219
STACEY L NICKLAS
LOS ANGELES, CA
NPI
1013475219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 35768)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
Dr. STACEY L NICKLAS Psy.D, LMFT
2999 OVERLAND AVE STE 217
LOS ANGELES, CA 90064-4243
Phone number: 310-271-8787
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Mailing Address
Dr. STACEY L NICKLAS Psy.D, LMFT
2999 OVERLAND AVE STE 217
LOS ANGELES, CA 90064-4243
Phone number: 310-271-8787
Copy
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