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1891916276
STACY FELT
MODESTO, CA
NPI
1891916276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- STACY FELT
3517 EFFINGHAM LN
MODESTO, CA 95357-1433
Phone number: 209-577-9053
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Mailing Address
-- STACY FELT
3517 EFFINGHAM LN
MODESTO, CA 95357-1433
Phone number:
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