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1790543445
STACY LUCILLE SMITH
CLEARLAKE, CA
NPI
1790543445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
STACY LUCILLE SMITH
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
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Mailing Address
STACY LUCILLE SMITH
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-994-7090
Copy
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