Stacy Lynn Fazio, LCSW

NPI #1104261544 in Clovis, California

Provider Information

NPI Number
1104261544
Entity Type
Individual
Name
Stacy Lynn Fazio, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 29, 2013
Last Updated
Aug 28, 2022

Practice Location

Address
755 N PEACH AVE STE H14
City
Clovis
ZIP Code
93611-7264
Phone
(555) 999-7308

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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