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1962500553
STACEY B THACKER
FRESNO, CA
NPI
1962500553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT43024)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mrs. STACEY B THACKER LMFT
1879 E FIR AVE STE 103 ROUBICEK & SHAW COUNSELING
FRESNO, CA 93720
Phone number: 559-323-8484
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Mailing Address
Mrs. STACEY B THACKER LMFT
1879 E FIR AVE STE 103
FRESNO, CA 93720
Phone number: 559-323-8484
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