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1518908680
STACEY A GOODMAN EATON
SAN DIEGO, CA
NPI
1518908680
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Former Name
STACEY A GOODMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS18913)
Enumeration Date
2006-06-09
Last Update Date
2016-02-16
Business Address
Mrs. STACEY A GOODMAN EATON LCSW
12520 HIGH BLUFF DR STE 135
SAN DIEGO, CA 92130-3066
Phone number: 619-383-6700
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Mailing Address
Mrs. STACEY A GOODMAN EATON LCSW
12520 HIGH BLUFF DR STE 135
SAN DIEGO, CA 92130-3066
Phone number: 619-528-4600
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