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1063131845
MICHELE PARK ANDREW
DAVIS, CA
NPI
1063131845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 108000)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
MICHELE PARK ANDREW LCSW
1830 GLENN PL
DAVIS, CA 95616-3170
Phone number: 925-366-5255
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Mailing Address
MICHELE PARK ANDREW LCSW
1830 GLENN PL
DAVIS, CA 95616-3170
Phone number: 925-366-5255
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