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1104829589
STACY E MASTEN
PRESCOTT, AZ
NPI
1104829589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW3469)
Enumeration Date
2005-05-31
Last Update Date
2007-09-28
Business Address
-- STACY E MASTEN M.S.W., L.C.S.W.
804 AINSWORTH DR STE 105
PRESCOTT, AZ 86301-1624
Phone number: 928-777-0919
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Mailing Address
-- STACY E MASTEN M.S.W., L.C.S.W.
PO BOX 486
HUMBOLDT, AZ 86329-0486
Phone number: 928-777-0919
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