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1902684897
VICKA MALONE STOUT
BISHOP, CA
NPI
1902684897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 12976)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
Ms. VICKA MALONE STOUT LMFT
2918 INDIAN CREEK DR
BISHOP, CA 93514-2912
Phone number: 760-920-2072
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Mailing Address
Ms. VICKA MALONE STOUT LMFT
2918 INDIAN CREEK DR
BISHOP, CA 93514-2912
Phone number: 760-920-2072
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