Individual
ALYSE STUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
15301 TYLER FOOTE RD, NEVADA CITY, CA 95959-9318
(530) 292-3478
Mailing address
PO BOX 1938, NEVADA CITY, CA 95959-1938
(530) 273-6864
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24394
CA
Other
Enumeration date
05/25/2012
Last updated
02/01/2013
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