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1386410264
STACEY THOMAS
GALT, CA
NPI
1386410264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
STACEY THOMAS
10898 BOESSOW RD
GALT, CA 95632-8451
Phone number: 209-412-2389
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Mailing Address
STACEY THOMAS
2424 OAK HILL ST
STOCKTON, CA 95206-4725
Phone number: 209-487-3469
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