STACEY SUZANNE KOPECKI

SAN BERNARDINO, CA
NPI1750560769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  ASW 28043)
Enumeration Date2007-10-25
Last Update Date2010-10-25
Business Address
-- STACEY SUZANNE KOPECKI
2080 S E ST
SAN BERNARDINO, CA 92408-2706
Phone number: 909-388-9191
Mailing Address
-- STACEY SUZANNE KOPECKI
3836 WESSON RANCH RD
MODESTO, CA 95356-1123
Phone number: 209-380-9988