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1255109260
STACI LYNN LJEPAVA
SAN JOSE, CA
NPI
1255109260
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Former Name
STACI LYNN SHRADER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: CA 210038810)
Enumeration Date
2023-12-19
Last Update Date
2023-12-19
Business Address
STACI LYNN LJEPAVA MSW, PPSC
850 N 2ND ST
SAN JOSE, CA 95112-6317
Phone number: 408-535-6267
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Mailing Address
STACI LYNN LJEPAVA MSW, PPSC
24569 HUTCHINSON RD
LOS GATOS, CA 95033-8554
Phone number: 408-513-4917
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