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1063981504
STACEY STUCKEY
ANAHEIM, CA
NPI
1063981504
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Former Name
STACEY RUIZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 108172)
Enumeration Date
2018-11-14
Last Update Date
2024-08-14
Business Address
Mrs. STACEY STUCKEY LCSW
2627 CRESCENT AVE
ANAHEIM, CA 92801
Phone number: 323-798-7413
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Mailing Address
Mrs. STACEY STUCKEY LCSW
PO BOX 63
FULLERTON, CA 92836-0063
Phone number:
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