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1538601828
STACEY URAUCHI
LOS ANGELES, CA
NPI
1538601828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1235281016)
Enumeration Date
2016-11-17
Last Update Date
2016-11-17
Business Address
-- STACEY URAUCHI
900 AVILA ST STE 102
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
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Mailing Address
-- STACEY URAUCHI
900 AVILA ST STE 102
LOS ANGELES, CA 90012-4287
Phone number: 213-229-0985
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