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Individual
STACIA DEIRO
Active
Individual
STACIA DEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34836
CA
106H00000X
Marriage & Family Therapist
LMFT113415
CA
Other
Enumeration date
06/04/2015
Last updated
01/30/2024
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