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1144760281
STACEY FOX
SANTA ROSA, CA
NPI
1144760281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-03-07
Last Update Date
2017-03-07
Business Address
-- STACEY FOX
144 S E ST
SANTA ROSA, CA 95404-4777
Phone number: 707-571-5581
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Mailing Address
-- STACEY FOX
2638 COFFEY LN
SANTA ROSA, CA 95403-3424
Phone number: 707-517-5581
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