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1740820869
STACIE OTTOSON
EL SEGUNDO, CA
NPI
1740820869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 42627)
Enumeration Date
2020-01-07
Last Update Date
2020-01-07
Business Address
STACIE OTTOSON LMFT
116 W GRAND AVE
EL SEGUNDO, CA 90245-3737
Phone number: 310-902-3182
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Mailing Address
STACIE OTTOSON LMFT
116 W GRAND AVE
EL SEGUNDO, CA 90245-3737
Phone number: 310-902-3182
Copy
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