DOLORES IRENE MATA

SAN JOSE, CA
NPI1053644187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
-- DOLORES IRENE MATA
797 WILLOW GLEN WAY
SAN JOSE, CA 95125-1870
Phone number: 408-561-0392
Mailing Address
-- DOLORES IRENE MATA
797 WILLOW GLEN WAY
SAN JOSE, CA 95125-1870
Phone number: 408-561-0392
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