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1073964805
DWIGHT SIMPSON
MODESTO, CA
NPI
1073964805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF66744)
Enumeration Date
2016-06-22
Last Update Date
2016-06-22
Business Address
Mr. DWIGHT SIMPSON MFTI
1705 ARDMORE AVE
MODESTO, CA 95350-4100
Phone number: 209-380-8615
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Mailing Address
Mr. DWIGHT SIMPSON MFTI
1705 ARDMORE AVE
MODESTO, CA 95350-4100
Phone number: 209-380-8615
Copy
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