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1972156362
STACEY KATHLEEN BOTTOMS
FAIRFIELD, CA
NPI
1972156362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 122725)
Enumeration Date
2019-07-24
Last Update Date
2023-01-30
Business Address
STACEY KATHLEEN BOTTOMS AMFT
1234 EMPIRE ST
FAIRFIELD, CA 94533-5711
Phone number: 510-317-1444
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Mailing Address
STACEY KATHLEEN BOTTOMS AMFT
309 STONYFORD DRIVE
VACAVILLE, CA 95687-4358
Phone number: 707-344-0699
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