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Individual
RICKI LEE STAUTZ
Active
Individual
RICKI LEE STAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119009
CA
171M00000X
Case Manager/Care Coordinator
12238
CA
Other
Enumeration date
07/19/2018
Last updated
11/21/2023
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