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1407064256
STACEY BOTTOMS
FRESNO, CA
NPI
1407064256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- STACEY BOTTOMS
6511 N 1ST ST
FRESNO, CA 93710-3930
Phone number: 559-438-7129
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Mailing Address
-- STACEY BOTTOMS
6511 N 1ST ST
FRESNO, CA 93710-3930
Phone number:
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