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1710469192
STACEY A RISOTTI
RANCHO CUCAMONGA, CA
NPI
1710469192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 60079)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
STACEY A RISOTTI LCSW
9166 ANAHEIM PL STE 200
RANCHO CUCAMONGA, CA 91730-8547
Phone number: 508-740-6803
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Mailing Address
STACEY A RISOTTI LCSW
898 CONCHA LOMA DR APT D
CARPINTERIA, CA 93013-2500
Phone number: 508-740-6803
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