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1053443812
ALICE LYNN BRISTOW
MODESTO, CA
NPI
1053443812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 23079)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
Ms. ALICE LYNN BRISTOW
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-6041
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Mailing Address
Ms. ALICE LYNN BRISTOW
707 14TH ST
MODESTO, CA 95354-2506
Phone number: 209-525-6041
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