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1073716627
STACY LOPEZ
VALLEJO, CA
NPI
1073716627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- STACY LOPEZ
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
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Mailing Address
-- STACY LOPEZ
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
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