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1508330515
STACEY LEANN DAVIS
BAKERSFIELD, CA
NPI
1508330515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1334560119)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
STACEY LEANN DAVIS
2917 EYE ST
BAKERSFIELD, CA 93301
Phone number: 661-237-8000
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Mailing Address
STACEY LEANN DAVIS
PO BOX 3218
BAKERSFIELD, CA 93385-3218
Phone number: 661-237-8200
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