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1093182412
CAROLIN ROSE FAN
VACAVILLE, CA
NPI
1093182412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 109079)
Enumeration Date
2015-09-02
Last Update Date
2023-04-05
Business Address
CAROLIN ROSE FAN LCSW
2100 PEABODY RD
VACAVILLE, CA 95687-6639
Phone number: 707-451-0182
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Mailing Address
CAROLIN ROSE FAN LCSW
2786 BRENTWOOD PL
DAVIS, CA 95618-4877
Phone number:
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