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1053965202
DIONETTA CHRISTINE MALLORY
STOCKTON, CA
NPI
1053965202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 87217)
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
DIONETTA CHRISTINE MALLORY
2510 N CALIFORNIA ST
STOCKTON, CA 95204-5502
Phone number:
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Mailing Address
DIONETTA CHRISTINE MALLORY
2501 N CALIFORNIA ST
STOCKTON, CA 95204-5501
Phone number: 209-620-5358
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