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1194841502
STACEY E TARQUINIO
PHOENIX, AZ
NPI
1194841502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC - 10418)
Enumeration Date
2007-03-21
Last Update Date
2007-07-09
Business Address
-- STACEY E TARQUINIO
4414 N 19TH AVE
PHOENIX, AZ 85015-4114
Phone number: 602-285-5550
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Mailing Address
-- STACEY E TARQUINIO
2214 E FAWN DR
PHOENIX, AZ 85042-6944
Phone number: 602-268-1157
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