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1679802375
STACY TALLEY
ANAHEIM, CA
NPI
1679802375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-12-09
Last Update Date
2009-12-09
Business Address
-- STACY TALLEY
131 W MIDWAY DR
ANAHEIM, CA 92805-6507
Phone number: 714-517-7107
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Mailing Address
-- STACY TALLEY
2202 PACIFIC COAST HWY
HUNTINGTON BEACH, CA 92648-3958
Phone number: 714-655-0214
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