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Individual
MS. GARETT STALEY
Active
Individual
MS. GARETT STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS 09040
CA
1041C0700X
Clinical Social Worker
Primary
LCS27321
CA
Other
Enumeration date
09/12/2011
Last updated
01/08/2016
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