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1073012480
STACEY RAE NEWSOME
YUBA CITY, CA
NPI
1073012480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
STACEY RAE NEWSOME
1745 OLEANDER DR
YUBA CITY, CA 95991-7318
Phone number: 530-923-5610
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Mailing Address
STACEY RAE NEWSOME
1745 OLEANDER DR
YUBA CITY, CA 95991-7318
Phone number: 530-923-5610
Copy
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