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1861956898
CLARICE IRENE STOUT
FULLERTON, CA
NPI
1861956898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 107743)
Enumeration Date
2019-01-23
Last Update Date
2019-03-13
Business Address
CLARICE IRENE STOUT
2601 E CHAPMAN AVE STE 111
FULLERTON, CA 92831-3737
Phone number: 949-293-6249
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Mailing Address
CLARICE IRENE STOUT
10614 CORDOBA CT
WHITTIER, CA 90601-2230
Phone number: 562-968-4692
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