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1922122340
STACEY LYNN NUSSBAUM
PALO ALTO, CA
NPI
1922122340
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Other Name
STACEY LYNN MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 21731)
Enumeration Date
2007-03-19
Last Update Date
2022-01-11
Business Address
Mrs. STACEY LYNN NUSSBAUM LCSW
231 GRANT AVE
PALO ALTO, CA 94306-1907
Phone number: 650-321-5545
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Mailing Address
Mrs. STACEY LYNN NUSSBAUM LCSW
710 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 408-992-4800
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