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1508274952
STACY JACQUELINE HENRIQUEZ
HESPERIA, CA
NPI
1508274952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-30
Last Update Date
2015-12-13
Business Address
-- STACY JACQUELINE HENRIQUEZ BSW
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
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Mailing Address
-- STACY JACQUELINE HENRIQUEZ BSW
11776 MARIPOSA RD
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
Copy
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