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1033873021
SUSAN DEMOTTE
STOCKTON, CA
NPI
1033873021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: CA 170198018)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
SUSAN DEMOTTE
1164 W BENJAMIN HOLT DR
STOCKTON, CA 95207-3641
Phone number: 209-403-4403
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Mailing Address
SUSAN DEMOTTE
1164 W BENJAMIN HOLT DR
STOCKTON, CA 95207-3641
Phone number: 209-403-4403
Copy
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