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1851411599
STACY KUMAR
MODESTO, CA
NPI
1851411599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 47545)
Enumeration Date
2007-03-29
Last Update Date
2011-03-29
Business Address
-- STACY KUMAR MS
1700 MCHENRY VILLAGE WAY # 11
MODESTO, CA 95350-4308
Phone number: 209-526-1476
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Mailing Address
-- STACY KUMAR MS
PO BOX 579776
MODESTO, CA 95357-9776
Phone number: 209-677-7545
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