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1942407648
STACEY LYNN THOMPSON
SAN JOSE, CA
NPI
1942407648
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Former Name
STACEY DEFORREST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT78180)
Enumeration Date
2007-06-27
Last Update Date
2014-01-08
Business Address
-- STACEY LYNN THOMPSON MFT-I, AT
1346 SETTLE AVE
SAN JOSE, CA 95125-2363
Phone number: 415-606-7756
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Mailing Address
-- STACEY LYNN THOMPSON MFT-I, AT
1346 SETTLE AVE
SAN JOSE, CA 95125-2363
Phone number: 415-606-7756
Copy
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