Individual
STACEY DUPREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18217 HALE AVE, MORGAN HILL, CA 95037-3550
(408) 465-8280
Mailing address
18217 HALE AVE, MORGAN HILL, CA 95037-3550
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30043
CA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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