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Individual

VICTORIA FRANCES STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LEP, PPS

Contact information

Practice address
11130 MAGNOLIA RD, GRASS VALLEY, CA 95949-8366
(530) 268-3700
(530) 268-8372
Mailing address
11130 MAGNOLIA RD, GRASS VALLEY, CA 95949-8366
(530) 268-3700
(530) 268-8372

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2876
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2876
CALIFORNIA BBS
CA
Enumeration date
09/07/2018
Last updated
09/07/2018
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