STACY PARK

LOS ANGELES, CA
NPI1992961197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS23522)
Enumeration Date2008-08-06
Last Update Date2014-06-10
Business Address
-- STACY PARK
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015-1019
Phone number: 213-553-1884
Mailing Address
-- STACY PARK
1730 W OLYMPIC BLVD FL 3A-100
LOS ANGELES, CA 90015-1019
Phone number: 213-236-9394
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