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1063569135
STACY KIM JOHNSTON
LA MESA, CA
NPI
1063569135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY17457)
Enumeration Date
2007-01-04
Last Update Date
2013-08-19
Business Address
Dr. STACY KIM JOHNSTON PHD
4730 PALM AVE 202
LA MESA, CA 91941-5266
Phone number: 619-778-7215
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Mailing Address
Dr. STACY KIM JOHNSTON PHD
4730 PALM AVE STE 202
LA MESA, CA 91941-5244
Phone number: 619-778-7215
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