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1063635001
LISA TEIXEIRA
MODESTO, CA
NPI
1063635001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS25717)
Enumeration Date
2007-04-10
Last Update Date
2021-12-30
Business Address
Ms. LISA TEIXEIRA
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-2314
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Mailing Address
Ms. LISA TEIXEIRA
4125 BANGS AVE
MODESTO, CA 95356-8713
Phone number: 209-557-2314
Copy
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