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1598436701
STACY IPPOLITO
LA MESA, CA
NPI
1598436701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 115839)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
Mrs. STACY IPPOLITO LMFT
8711 VAN HORN ST
LA MESA, CA 91942-3219
Phone number: 559-348-3630
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Mailing Address
Mrs. STACY IPPOLITO LMFT
PO BOX 2502
LA MESA, CA 91943-2502
Phone number: 559-348-3630
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