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1093944027
CORRINE MENCHACA
MODESTO, CA
NPI
1093944027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-07-12
Last Update Date
2009-07-12
Business Address
Ms. CORRINE MENCHACA M.A.
111 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-579-8395
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Mailing Address
Ms. CORRINE MENCHACA M.A.
1436 ROYALTON CT
MODESTO, CA 95350-0702
Phone number: 209-409-8573
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