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1275293144
STEPHANIE RENEE TACKETT
BAKERSFIELD, CA
NPI
1275293144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1447631021)
Enumeration Date
2021-12-20
Last Update Date
2021-12-30
Business Address
STEPHANIE RENEE TACKETT R1447360121
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307-3642
Phone number: 661-321-0234
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Mailing Address
STEPHANIE RENEE TACKETT R1447360121
419 EL PRADO DR
BAKERSFIELD, CA 93304-3948
Phone number: 661-496-0656
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