Julie Nicole Stassart, BA
NPI #1831372747 in San Dimas, California
Provider Information
- NPI Number
- 1831372747
- Entity Type
- Individual
- Name
- Julie Nicole Stassart, BA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Credential
- BA
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Dec 13, 2007
Practice Location
- Address
- 762 CYPRESS ST
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3505
- Phone
- (909) 599-1227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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