Provider Demographics
NPI:1891379442
Name:STRACHMAN, STACEY LYNNE (MSW, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:LYNNE
Last Name:STRACHMAN
Suffix:
Gender:F
Credentials:MSW, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5518 BLOSSOM TREE LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-6049
Mailing Address - Country:US
Mailing Address - Phone:408-656-7678
Mailing Address - Fax:
Practice Address - Street 1:5518 BLOSSOM TREE LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-6049
Practice Address - Country:US
Practice Address - Phone:408-656-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
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