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1104327154
JEAN ANNE CARLL
ROSEVILLE, CA
NPI
1104327154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 79325)
Enumeration Date
2018-02-26
Last Update Date
2018-02-26
Business Address
Ms. JEAN ANNE CARLL Lcsw
4033 JEROME WAY
ROSEVILLE, CA 95747-9586
Phone number: 916-612-4744
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Mailing Address
Ms. JEAN ANNE CARLL Lcsw
4033 JEROME WAY
ROSEVILLE, CA 95747-9586
Phone number: 916-547-1703
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