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1447461397
STACY SIMONE
COMPTON, CA
NPI
1447461397
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Former Name
STACY ANA RUSSAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 48661)
Enumeration Date
2007-05-24
Last Update Date
2018-10-04
Business Address
Ms. STACY SIMONE M.A.
600 N ALAMEDA ST EAST
COMPTON, CA 90221
Phone number: 323-242-5000
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Mailing Address
Ms. STACY SIMONE M.A.
600 N ALAMEDA ST EAST
COMPTON, CA 90221-2605
Phone number: 323-242-5000
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