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Organization
STACIE FANELLI, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
Active
Organization
STACIE FANELLI, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
Active
Other names
Autonomous Minds Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE LYNN FANELLI LCSW (OWNER)
(626) 838-3406
Entity
Organization
Contact information
Practice address
9135 ARCHIBALD AVE STE B, RANCHO CUCAMONGA, CA 91730-5227
(626) 838-3406
Mailing address
9135 ARCHIBALD AVE STE B, RANCHO CUCAMONGA, CA 91730-5227
(626) 838-3406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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