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1003578196
SHANI DHARMASENA
STOCKTON, CA
NPI
1003578196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW102140)
Enumeration Date
2021-10-06
Last Update Date
2021-10-06
Business Address
SHANI DHARMASENA LCSW
1545 SAINT MARKS PLZ
STOCKTON, CA 95207-6411
Phone number: 209-741-7888
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Mailing Address
SHANI DHARMASENA LCSW
10946 PEONY PLACE DR
STOCKTON, CA 95209-3783
Phone number: 209-741-7888
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