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1841750197
STACIA ANN VAN BAALEN
CUTLER BAY, FL
NPI
1841750197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW5993)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
STACIA ANN VAN BAALEN LCSW
19001 SW 106TH AVE # C-103
CUTLER BAY, FL 33157-7669
Phone number: 786-227-5000
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Mailing Address
STACIA ANN VAN BAALEN LCSW
13041 SW 95TH AVE
MIAMI, FL 33176-5728
Phone number: 305-282-1531
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