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1730935503
STACEY RAKAUSKAS
LA QUINTA, CA
NPI
1730935503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
STACEY RAKAUSKAS
79100 OCOTILLO DR
LA QUINTA, CA 92253-5915
Phone number: 760-884-8418
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Mailing Address
STACEY RAKAUSKAS
79100 OCOTILLO DR
LA QUINTA, CA 92253-5915
Phone number:
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