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1598358129
STACEY MARINE GERSHON
SACRAMENTO, CA
NPI
1598358129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-02-15
Last Update Date
2021-02-15
Business Address
Ms. STACEY MARINE GERSHON
WELLSPACE HEALTH 1820 J ST WELLSPACE HEALTH 4343 WILLIAMSBOURGH DR.
SACRAMENTO, CA 95811
Phone number: 916-395-3552
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Mailing Address
Ms. STACEY MARINE GERSHON
5113 CONNECTICUT DR APT 3
SACRAMENTO, CA 95841-3910
Phone number: 916-706-6417
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