STACY LYN RUSSELL

FRENCH CAMP, CA
NPI1639622566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-07-27
Last Update Date2016-07-27
Business Address
-- STACY LYN RUSSELL
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6208
Mailing Address
-- STACY LYN RUSSELL
500 W HOSPITAL RD
FRENCH CAMP, CA 95231-9693
Phone number: 209-468-6208
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