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1770213712
STACI MICHELLE GADDIS
SAN DIEGO, CA
NPI
1770213712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
STACI MICHELLE GADDIS
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-977-3716
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Mailing Address
STACI MICHELLE GADDIS
928 BROADWAY
SAN DIEGO, CA 92101-5514
Phone number: 619-977-3716
Copy
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