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1164996468
STEPHANIE ELIZABETH STACY
BOISE, ID
NPI
1164996468
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Former Name
STEPHANIE ELIZABETH BACHTELLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-01-20
Last Update Date
2019-01-20
Business Address
Dr. STEPHANIE ELIZABETH STACY
500 W FORT ST BLDG 23
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
Dr. STEPHANIE ELIZABETH STACY
1810 W BANNOCK ST
BOISE, ID 83702-5108
Phone number: 714-425-1605
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