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1992257083
STACIE BRYANT
MODESTO, CA
NPI
1992257083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW89562)
Enumeration Date
2016-10-25
Last Update Date
2021-12-06
Business Address
STACIE BRYANT LCSW
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number: 209-557-6200
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Mailing Address
STACIE BRYANT LCSW
1225 OAKDALE RD
MODESTO, CA 95355-3357
Phone number: 209-557-6200
Copy
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