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1003935891
PEGGY YOLANDA FANCHER
SAN DIEGO, CA
NPI
1003935891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 083944)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- PEGGY YOLANDA FANCHER LMSW, ACSW, BCETS
12060 TIVOLI PARK ROW UNIT 6
SAN DIEGO, CA 92128-4372
Phone number: 858-605-1797
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Mailing Address
-- PEGGY YOLANDA FANCHER LMSW, ACSW, BCETS
HHC 501ST SUSTAINMENT BRIGADE UNIT 15476 BOX 198
APO, AP 96260
Phone number: 858-605-1797
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