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1861773848
STACEY MAE AUSTIN
CHICAGO, IL
NPI
1861773848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2011-09-02
Last Update Date
2019-04-12
Business Address
STACEY MAE AUSTIN Psy.D.
451 N LA SALLE DR
CHICAGO, IL 60654-4510
Phone number: 312-566-4478
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Mailing Address
STACEY MAE AUSTIN Psy.D.
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number:
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