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1093136442
ALYSON NICOLE STACK
LOS ANGELES, CA
NPI
1093136442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 53325)
Enumeration Date
2014-01-01
Last Update Date
2014-01-01
Business Address
-- ALYSON NICOLE STACK M.S., LMFT
1429 N CURSON AVE SUITE 104
LOS ANGELES, CA 90046-4062
Phone number: 310-861-7564
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Mailing Address
-- ALYSON NICOLE STACK M.S., LMFT
420 S BEVERLY DR SUITE #100-16
BEVERLY HILLS, CA 90212-4426
Phone number: 310-861-7564
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