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1174050124
STACY COSTOPOULOS SMITH
CARLSBAD, CA
NPI
1174050124
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Former Name
STACY COSTOPOULOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 122299)
Enumeration Date
2017-05-20
Last Update Date
2021-02-15
Business Address
STACY COSTOPOULOS SMITH LMFT
3088 PIO PICO DR STE 203
CARLSBAD, CA 92008-1965
Phone number: 760-494-4394
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Mailing Address
STACY COSTOPOULOS SMITH LMFT
3088 PIO PICO DR STE 203
CARLSBAD, CA 92008-1965
Phone number: 760-494-4394
Copy
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