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1619277225
STACEY CHARLENE MCVICKER
GRASS VALLEY, CA
NPI
1619277225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-10-29
Last Update Date
2024-06-21
Business Address
STACEY CHARLENE MCVICKER
500 CROWN POINT CIR STE 120
GRASS VALLEY, CA 95945-9561
Phone number: 530-265-7222
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Mailing Address
STACEY CHARLENE MCVICKER
995 HELLING WAY
NEVADA CITY, CA 95959-8619
Phone number: 530-265-7222
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