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1144921230
STEDMAN MAZYCK
FAIRFIELD, CA
NPI
1144921230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
Mr. STEDMAN MAZYCK
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-5174
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Mailing Address
Mr. STEDMAN MAZYCK
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-5174
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