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1104279728
IKESHA GOODWIN
STOCKTON, CA
NPI
1104279728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-19
Last Update Date
2017-02-15
Business Address
-- IKESHA GOODWIN
540 N CALIFORNIA ST
STOCKTON, CA 95202-2117
Phone number: 209-464-4524
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Mailing Address
-- IKESHA GOODWIN
540 N CALIFORNIA ST
STOCKTON, CA 95202-2117
Phone number:
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