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General NPI Number Information
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NPI Number | 1841738523
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Entity Type | Organization
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Legal Business Name | STACIE ARAGON
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 1100 OLYMPIC DR #104
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City | CORONA
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State | CA
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Zip | 92881-3223
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Country | US
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Telephone | 714-330-2613
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Fax | 951-280-9866
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Provider Business Mailing Address
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Address Line | 1100 OLYMPIC DR #104
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City | CORONA
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State | CA
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Zip | 92881-3223
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Country | US
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Telephone | 714-330-2613
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Fax | 951-280-9866
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Authorized Official
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Title or Position | PRESIDENT/LCSW
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Name | STACIE ARAGON
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Credential |
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Telephone | 714-330-2613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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