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1457590374
SUZANNE STACCONE
ALAMEDA, CA
NPI
1457590374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY21415)
Enumeration Date
2009-02-17
Last Update Date
2011-01-08
Business Address
DR. SUZANNE STACCONE PH.D.
3177 PHOENIX LN
ALAMEDA, CA 94502-6924
Phone number: 209-835-4141
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Mailing Address
DR. SUZANNE STACCONE PH.D.
PO BOX 22544
OAKLAND, CA 94609-5144
Phone number: 209-835-4141
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