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1083170930
ALYSSA LENAE BAKER
MODESTO, CA
NPI
1083170930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-15
Last Update Date
2024-07-24
Business Address
ALYSSA LENAE BAKER
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-505-4765
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Mailing Address
ALYSSA LENAE BAKER
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-505-4765
Copy
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