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1861948226
STEPHANIE LYLY
UKIAH, CA
NPI
1861948226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
STEPHANIE LYLY
350 E GOBBI ST
UKIAH, CA 95482-5511
Phone number: 707-472-2922
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Mailing Address
STEPHANIE LYLY
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-472-2922
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