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1083036206
STACEY JOHNSON
LOS ANGELES, CA
NPI
1083036206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 72501)
Enumeration Date
2014-01-07
Last Update Date
2014-01-07
Business Address
-- STACEY JOHNSON
1056 W 49TH ST
LOS ANGELES, CA 90037-2922
Phone number: 323-385-8359
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Mailing Address
-- STACEY JOHNSON
1056 W 49TH ST
LOS ANGELES, CA 90037-2922
Phone number:
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