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1770140162
STACIE MARIE CHASTAIN
ROCKLIN, CA
NPI
1770140162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 24793)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
STACIE MARIE CHASTAIN MS, CCC-SLP
6960 DESTINY DR STE 112
ROCKLIN, CA 95677-2995
Phone number: 916-947-1812
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Mailing Address
STACIE MARIE CHASTAIN MS, CCC-SLP
PO BOX 2060
GRANITE BAY, CA 95746-2060
Phone number: 916-989-3509
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