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1225390198
STEPHANIE VON DER LIETH
ANTIOCH, CA
NPI
1225390198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-06-15
Last Update Date
2023-05-17
Business Address
STEPHANIE VON DER LIETH
3727 SUNSET LN
ANTIOCH, CA 94509-6134
Phone number: 925-778-1667
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Mailing Address
STEPHANIE VON DER LIETH
3727 SUNSET LN
ANTIOCH, CA 94509-6134
Phone number: 925-778-1667
Copy
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