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1023716404
ANNIE GENE BANKS WARDLE
MANTECA, CA
NPI
1023716404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
ANNIE GENE BANKS WARDLE MSW
763 ORCHARD WAY
MANTECA, CA 95336-3553
Phone number: 209-637-7310
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Mailing Address
ANNIE GENE BANKS WARDLE MSW
763 ORCHARD WAY
MANTECA, CA 95336-3553
Phone number: 209-637-7310
Copy
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