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Individual
STACI LOUISE ALTOMARE
Active
Individual
STACI LOUISE ALTOMARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCSW114922
CA
104100000X
Social Worker
Primary
LCSW114922
CA
1041C0700X
Clinical Social Worker
LCSW114922
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2014
Last updated
03/21/2024
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