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1831600162
STEPHANIE T. IMP
SANTA ANA, CA
NPI
1831600162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: 94023427)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
STEPHANIE T. IMP
2107 N BROADWAY SUITE 207
SANTA ANA, CA 92706
Phone number: 714-972-0040
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Mailing Address
STEPHANIE T. IMP
P.O. BOX 6299
LAGUNA NIGUEL, CA 92607
Phone number: 714-972-0040
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