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1124592050
STACEY LYNN MONROE
BERKELEY, CA
NPI
1124592050
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Former Name
STACEY MONROE KAISER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.020397)
Enumeration Date
2019-01-14
Last Update Date
2021-11-23
Business Address
STACEY LYNN MONROE
2855 TELEGRAPH AVE STE 515
BERKELEY, CA 94705-1151
Phone number: 309-643-9926
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Mailing Address
STACEY LYNN MONROE
526 BEVERLY DR
SUMMERVILLE, SC 29485-8191
Phone number: 309-643-9926
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