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1447471891
STACEY M RODGERS
SAN RAFAEL, CA
NPI
1447471891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY20102)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. STACEY M RODGERS Psy.D.
1330 LINCOLN AVE STE 108-B
SAN RAFAEL, CA 94901-2141
Phone number: 415-454-1605
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Mailing Address
Dr. STACEY M RODGERS Psy.D.
1 DEER PARK LN
SAN ANSELMO, CA 94960-2208
Phone number: 415-577-3415
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