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1104261544
STACY LYNN FAZIO
CLOVIS, CA
NPI
1104261544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW19354)
Enumeration Date
2013-04-29
Last Update Date
2022-08-28
Business Address
STACY LYNN FAZIO LCSW
755 N PEACH AVE STE H14
CLOVIS, CA 93611-7264
Phone number: 555-999-7308
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Mailing Address
STACY LYNN FAZIO LCSW
673 W RICHMOND AVE
CLOVIS, CA 93619-4825
Phone number: 555-999-7308
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