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1750560769
STACEY SUZANNE KOPECKI
SAN BERNARDINO, CA
NPI
1750560769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW 28043)
Enumeration Date
2007-10-25
Last Update Date
2010-10-25
Business Address
-- STACEY SUZANNE KOPECKI
2080 S E ST
SAN BERNARDINO, CA 92408-2706
Phone number: 909-388-9191
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Mailing Address
-- STACEY SUZANNE KOPECKI
3836 WESSON RANCH RD
MODESTO, CA 95356-1123
Phone number: 209-380-9988
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