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1003028473
ROBERTA MARGARET ELLEDGE
MODESTO, CA
NPI
1003028473
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Other Name
R. MARGARET ELLEDGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC31467)
Enumeration Date
2007-05-05
Last Update Date
2007-07-08
Business Address
-- ROBERTA MARGARET ELLEDGE LMFT
819 15TH ST
MODESTO, CA 95354-1113
Phone number: 209-549-9608
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Mailing Address
-- ROBERTA MARGARET ELLEDGE LMFT
819 15TH ST
MODESTO, CA 95354-1113
Phone number: 209-549-9608
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