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1013780675
CLARA JENNIFER FAWN DORMAN
CHICO, CA
NPI
1013780675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-11-03
Last Update Date
2023-11-03
Business Address
CLARA JENNIFER FAWN DORMAN
109 PARMAC RD STE 2
CHICO, CA 95926-2294
Phone number: 530-879-3363
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Mailing Address
CLARA JENNIFER FAWN DORMAN
2331 NOTRE DAME BLVD
CHICO, CA 95928-6819
Phone number: 530-354-9359
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