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1265162218
STACEY BLUM
PASADENA, CA
NPI
1265162218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 14646)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Ms. STACEY BLUM
300 N EL MOLINO AVE UNIT 108
PASADENA, CA 91101-1665
Phone number: 310-463-5968
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Mailing Address
Ms. STACEY BLUM
300 N EL MOLINO AVE UNIT 108
PASADENA, CA 91101-1665
Phone number: 310-463-5968
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